Individual provider · Type 1 NPI

Alex Jonathan Sanderson, PAC

Medical Physician Assistant · Pembroke, NC

NPI number 1104854967 Active

Practice location

307 East Wardell Drive
Pembroke, NC 28372

Fax (910) 521-3583

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1104854967

Alex Jonathan Sanderson, PAC's National Provider Identifier is 1104854967, issued on Jun 29, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Pembroke, NC. The record was last updated on Jul 9, 2007.