Individual provider · Type 1 NPI

Mark C. Sanderson, MD

Plastic and Reconstructive Surgery Physician · American Fork, UT

NPI number 1073604609 Active

Practice location

1184 E 80 N
American Fork, UT 84003-2906

Fax (801) 763-3887

Mailing address

1055 N 500 W, Credentialing Department
Provo, UT 84604-3305

Specialties and licenses

TaxonomyCodeLicense
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X187115-1205 (UT)
Orthopaedic Hand Surgery Physician 207XS0106X187115-1205 (UT)
Plastic and Reconstructive Surgery Physician Primary 2086S0122X187115-1205 (UT)

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

16 other providers at this address

About NPI 1073604609

Mark C. Sanderson, MD's National Provider Identifier is 1073604609, issued on Sep 27, 2006. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in American Fork, UT. The record was last updated on Nov 27, 2023.