IndividualActive
Layne Sandridge, M.D.
NPI 1063689909 · Vascular Surgery Physician · Glendale, AZ
Provider details
- NPI number
- 1063689909
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 40861 (AZ)
Practice location
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
Registry dates
- Enumerated
- 2008-05-09
- Last updated
- 2019-01-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.