JESSE SANDOVAL

SOLDOTNA, AK
NPI1972552271
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy202K00000X Phlebology
(Licence: ID  O124)
Additional Taxonomies207R00000X Internal Medicine
(Licence: ID  0124)
Enumeration Date2006-05-06
Last Update Date2023-12-19
Business Address
Dr. JESSE SANDOVAL D.O.
245 N BINKLEY ST STE 101
SOLDOTNA, AK 99669-7500
Phone number: 907-714-4111
Mailing Address
Dr. JESSE SANDOVAL D.O.
PO BOX 7130
BOISE, ID 83707-1130
Phone number: 208-333-1472