| M. Bruce Sanderson Md Pa | |
|
500 S University Ave Ste 701 Little Rock AR 72205-5309 | |
| (501) 664-5119 | |
| (501) 664-4209 |
| Full Name | M. Bruce Sanderson Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 500 S University Ave Ste 701, Little Rock, Arkansas |
| Authorized Official Name and Position | M Bruce Sanderson (PRESIDENT) |
| Authorized Official Contact | 5016645119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M. Bruce Sanderson Md Pa 500 S University Ave Ste 701 Little Rock AR 72205-5309 Ph: (501) 664-5119 | M. Bruce Sanderson Md Pa 500 S University Ave Ste 701 Little Rock AR 72205-5309 Ph: (501) 664-5119 |
| NPI Number | 1568791135 |
|---|---|
| Provider Enumeration Date | 12/10/2009 |
| Last Update Date | 04/21/2020 |
| Medicare PECOS PAC ID | 5991846693 |
|---|---|
| Medicare Enrollment ID | O20100104000026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568791135 | NPI | - | NPPES |
| 104566001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Marvin B Sanderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700846870 PECOS PAC ID: 2365583069 Enrollment ID: I20100104000022 |
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