Sanderson, Mark C
Sanderson, Mark C is an individual health care provider with primary practice located at 1184 E 80 N , American Fork UT 84003-2906. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Sanderson, Mark C can be contacted via phone (801) 763-3885.Contact Information
Primary practice address
1184 E 80 N
American Fork UT 84003-2906
Phone: (801) 763-3885
Fax: (801) 763-3887
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2082S0105X | 187115-1205 | Utah |
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 187115-1205 | Utah |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 187115-1205 | Utah |
Profile Details
| NPI number | 1073604609 |
|---|---|
| LBN Legal business name | Sanderson, Mark C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Nov 27th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073604609 | NPPES |
| Utah | Other | 107005288103 | IHC |
| Utah | Other | 13-00081 | IHC |
| Utah | Other | 215832 | IHC |
| Utah | Other | 54270 | IHC |
| Utah | Other | 870281028SAN | IHC |
| Utah | Other | 79371 | IHC |
| Utah | MEDICAID | 870281028000 | IHC |
| Utah | Other | P00167990 | IHC |
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