Provider Demographics
NPI:1760680581
Name:SAUNDERS, SHAD STEPHEN (MD)
Entity Type:Individual
Prefix:DR
First Name:SHAD
Middle Name:STEPHEN
Last Name:SAUNDERS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1800 E PAVILION PL
Mailing Address - Street 2:SUITE B
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81401-5499
Mailing Address - Country:US
Mailing Address - Phone:970-249-1210
Mailing Address - Fax:970-249-3057
Practice Address - Street 1:1800 E PAVILION PL
Practice Address - Street 2:SUITE B
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401-5499
Practice Address - Country:US
Practice Address - Phone:970-249-1210
Practice Address - Fax:970-249-3057
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2012-03-22
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Provider Licenses
StateLicense IDTaxonomies
CO47931207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CJ7703OtherRR MEDICARE
CO10723862Medicaid
840851676010OtherROCKY MOUNTAIN HEALTH PLAN
CJ7703OtherRR MEDICARE