Individual provider · Type 1 NPI

Gary R. Sanderson, DO

Emergency Medical Services (Emergency Medicine) Physician · Provo, UT

NPI number 1467651232 Active

Practice location

1034 N 500 W
Provo, UT 84604-3380

Call (801) 373-7850 Map

Mailing address

312 N 700 E
Pleasant Grove, UT 84062-2448

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000X4645 (AZ)
Emergency Medical Services (Emergency Medicine) Physician Primary 207PE0004X6949058-1204 (UT)

Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

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About NPI 1467651232

Gary R. Sanderson, DO's National Provider Identifier is 1467651232, issued on Jul 12, 2007. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Provo, UT. The record was last updated on Oct 2, 2008.