Individual provider · Type 1 NPI

Layne C. Sandridge, MD

Vascular Surgery Physician · Glendale, AZ

NPI number 1063689909 Active

Practice location

18700 N 64th Dr Ste 105A
Glendale, AZ 85308-7110

Call (623) 688-5075 Map

Fax (623) 688-5075

Mailing address

19801 N 59th Ave Unit 11659
Glendale, AZ 85318-5068

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician Primary 2086S0129X40861 (AZ)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1063689909

Layne C. Sandridge, MD's National Provider Identifier is 1063689909, issued on May 9, 2008. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Glendale, AZ. The record was last updated on Jan 4, 2019.