Provider Demographics
NPI:1891703682
Name:SAUNDERS, PHILLIP L (MD)
Entity Type:Individual
Prefix:
First Name:PHILLIP
Middle Name:L
Last Name:SAUNDERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2331 WHITESBURG DR S
Mailing Address - Street 2:SUITE B&C
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-3829
Mailing Address - Country:US
Mailing Address - Phone:256-536-0505
Mailing Address - Fax:256-536-0504
Practice Address - Street 1:2331 WHITESBURG DR S
Practice Address - Street 2:SUITE B&C
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-3829
Practice Address - Country:US
Practice Address - Phone:256-536-0505
Practice Address - Fax:256-536-0504
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2017-06-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL16564207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALG53522Medicare UPIN
AL009940563Medicaid
ALG53522Medicare UPIN
AL051558425Medicare PIN