Provider Demographics
NPI:1639419245
Name:SANDERLIN, STEVEN MARQUE (DVM)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:MARQUE
Last Name:SANDERLIN
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4900 CRIMSON STAR DR
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80023-8769
Mailing Address - Country:US
Mailing Address - Phone:720-256-4900
Mailing Address - Fax:303-465-0663
Practice Address - Street 1:4900 CRIMSON STAR DR
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80023-8769
Practice Address - Country:US
Practice Address - Phone:720-256-4900
Practice Address - Fax:303-465-0663
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-18
Last Update Date:2013-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO7090174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian