Provider Demographics
NPI:1386614808
Name:GANDEE, CHERYL LYNN SMITH (DO, FACOS)
Entity type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:LYNN SMITH
Last Name:GANDEE
Suffix:
Gender:F
Credentials:DO, FACOS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:US NAVAL HOSPITAL SIGONELLA
Mailing Address - Street 2:PSC 836 BOX 165
Mailing Address - City:FPO
Mailing Address - State:AE
Mailing Address - Zip Code:09636
Mailing Address - Country:IT
Mailing Address - Phone:0113909-556-4921
Mailing Address - Fax:
Practice Address - Street 1:US NAVAL HOSPITAL SIGONELLA
Practice Address - Street 2:PSC 836 BOX 2670
Practice Address - City:FPO
Practice Address - State:AE
Practice Address - Zip Code:09636
Practice Address - Country:IT
Practice Address - Phone:0113909-556-3842
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO25819208600000X
MI5101007771208600000X
OK2327208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered208600000XAllopathic & Osteopathic PhysiciansSurgery