Provider Demographics
NPI:1346305620
Name:SAUNDERS, DAVID S (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:S
Last Name:SAUNDERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 W MARGARET STREET
Mailing Address - Street 2:SUITE 10
Mailing Address - City:PASCO
Mailing Address - State:WA
Mailing Address - Zip Code:99301-5273
Mailing Address - Country:US
Mailing Address - Phone:509-543-4166
Mailing Address - Fax:509-544-0331
Practice Address - Street 1:516 W MARGARET ST
Practice Address - Street 2:SUITE 10
Practice Address - City:PASCO
Practice Address - State:WA
Practice Address - Zip Code:99301-5273
Practice Address - Country:US
Practice Address - Phone:509-543-4166
Practice Address - Fax:509-544-0331
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00029301174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1075852Medicaid
WAA46653Medicare UPIN