Provider Demographics
NPI:1497204770
Name:SAUNDERS, CARL JEFFERSON (DC)
Entity Type:Individual
Prefix:
First Name:CARL
Middle Name:JEFFERSON
Last Name:SAUNDERS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 E 800 S
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84058-5008
Mailing Address - Country:US
Mailing Address - Phone:801-225-2457
Mailing Address - Fax:
Practice Address - Street 1:218 E 800 S
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84058-5008
Practice Address - Country:US
Practice Address - Phone:801-225-2457
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-27
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6872184-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor