THOMAS R SANFORD

ST. LOUIS, MO
NPI1568489151
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Y00000X Otolaryngology
(Licence: MO  109913)
Enumeration Date2006-07-17
Last Update Date2021-03-12
Business Address
THOMAS R SANFORD MD
1225 S. GRAND DOOR 3
ST. LOUIS, MO 63104
Phone number: 314-977-5110
Mailing Address
THOMAS R SANFORD MD
3691 RUTGER AVE PROVIDER ENROLLMENT
ST LOUIS, MO 63110
Phone number: 314-977-4440