IndividualActive
Adam Sanderson, DO
NPI 1962106401 · Student in an Organized Health Care Education/Training Program · Wpafb, OH
Provider details
- NPI number
- 1962106401
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 0102209168 (VA)
Specialties & taxonomies
Student, Health Care
Allopathic & Osteopathic Physicians
Practice location
4881 Sugar Maple Dr
Wpafb, OH 45433-5529
Phone: (937) 257-9926
Approximate (ZIP-level) locationGet directions
Mailing address
4881 Sugar Maple Dr
Wpafb, OH 45433-5529
Registry dates
- Enumerated
- 2023-03-29
- Last updated
- 2026-02-05
- Certified
- 2026-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.