Individual provider · Type 1 NPI
Miranda D. Sauceda
Clinic/Center · Advance, MO
NPI number
1952582223
Active
Practice location
502 West Sturdivant
Advance, MO 63730-0137
Fax (573) 722-9393
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
About NPI 1952582223
Miranda D. Sauceda's National Provider Identifier is 1952582223, issued on Nov 15, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Advance, MO. The record was last updated on Nov 15, 2007.