Provider Demographics
NPI:1356522536
Name:RONALD SAUNDERS, MD
Entity type:Organization
Organization Name:RONALD SAUNDERS, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:SAUNDERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:800-353-5420
Mailing Address - Street 1:1159 E 200 N STE 300
Mailing Address - Street 2:
Mailing Address - City:AMERICAN FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84003-2037
Mailing Address - Country:US
Mailing Address - Phone:800-353-5420
Mailing Address - Fax:866-897-5366
Practice Address - Street 1:1159 E 200 N STE 300
Practice Address - Street 2:
Practice Address - City:AMERICAN FORK
Practice Address - State:UT
Practice Address - Zip Code:84003-2037
Practice Address - Country:US
Practice Address - Phone:800-353-5420
Practice Address - Fax:866-897-5366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-16
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTDA4121OtherRR MEDICARE