Provider Demographics
NPI:1811689607
Name:SANDERS, ZACHERY LANE (DO)
Entity type:Individual
Prefix:
First Name:ZACHERY
Middle Name:LANE
Last Name:SANDERS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DIGNITY HEALTH MERCY GILBERT MEDICAL CENTER
Mailing Address - Street 2:3555 S VAL VISTA DR
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297
Mailing Address - Country:US
Mailing Address - Phone:480-728-8000
Mailing Address - Fax:
Practice Address - Street 1:DIGNITY HEALTH MERCY GILBERT MEDICAL CENTER
Practice Address - Street 2:3555 S VAL VISTA DR
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85297
Practice Address - Country:US
Practice Address - Phone:480-728-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program