Provider Demographics
NPI:1831378645
Name:BOLANDER, SARAH LEE (DMSC, PA-C, DFAAPA)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:LEE
Last Name:BOLANDER
Suffix:
Gender:F
Credentials:DMSC, PA-C, DFAAPA
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:LEE
Other - Last Name:HOUSTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:3420 S MERCY RD STE 107
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297-0420
Mailing Address - Country:US
Mailing Address - Phone:480-551-0300
Mailing Address - Fax:480-649-3746
Practice Address - Street 1:3420 S MERCY RD STE 107
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85297-0420
Practice Address - Country:US
Practice Address - Phone:480-551-0300
Practice Address - Fax:480-649-3746
Is Sole Proprietor?:No
Enumeration Date:2007-10-29
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3756363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical