Basic Information
Provider Information
NPI: 1477559995
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SADLER
FirstName: ALFRED
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 100 WILSON RD
Address2: STE 100
City: MONTEREY
State: CA
PostalCode: 93940
CountryCode: US
TelephoneNumber: 8316491000
FaxNumber: 8316494961
Practice Location
Address1: 1756 N MAIN ST
Address2:  
City: SALINAS
State: CA
PostalCode: 93906
CountryCode: US
TelephoneNumber: 8314438200
FaxNumber: 8314493874
Other Information
ProviderEnumerationDate: 06/21/2005
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XG41591CAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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