Provider Demographics
NPI:1558890715
Name:SADLER, AMANDA L (MD)
Entity type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:L
Last Name:SADLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:AMANDA
Other - Middle Name:
Other - Last Name:STEVENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:519 SW 4TH ST STE 105
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73160-4946
Mailing Address - Country:US
Mailing Address - Phone:405-237-9503
Mailing Address - Fax:405-900-9507
Practice Address - Street 1:519 SW 4TH ST STE 105
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:OK
Practice Address - Zip Code:73160-4946
Practice Address - Country:US
Practice Address - Phone:405-237-9503
Practice Address - Fax:405-900-9507
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-09
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK32903207QS0010X, 207Q00000X
CODR.0066841207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine