NPI 1063689909

Layne C. Sandridge, MD

Practitioner Vascular Surgery Physician Glendale, AZ

Practice location

Address: 18700 N 64th Dr STE 105a, Glendale, AZ 85308-7110
Phone: (623) 688-5075
Fax: (623) 688-5075
Mailing address: 19801 N 59th Ave Unit 11659, Glendale, AZ 85318-5068

Registered specialties

Vascular Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0129X Licence 40861 (AZ)

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Registry record

NPI: 1063689909
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 May 2008
Record last updated: 4 Jan 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.