DONALD E SANFORD

CALDWELL, ID
NPI1710537964
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1779)
Enumeration Date2019-09-18
Last Update Date2019-09-18
Business Address
DONALD E SANFORD PA
4815 CLEVELAND BLVD
CALDWELL, ID 83605-6501
Phone number: 208-455-3545
Mailing Address
DONALD E SANFORD PA
PO BOX 191050
BOISE, ID 83719-1050
Phone number: 208-955-6500