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Mark C Sanderson, MD
Plastic and Reconstructive Surgery Physician in American Fork, Utah
NPI 1073604609

Mark C Sanderson is a Plastic and Reconstructive Surgery Physician based in Provo, UT and is specialized in Plastic and Reconstructive Surgery. Mark C Sanderson practices in American Fork, UT and has the professional credentials of MD. The NPI Number for Mark C Sanderson is 1073604609 and holds a License No. 187115-1205 (Utah).

The current practice location address for Mark C Sanderson is 1184 E 80 N, American Fork, UT and can be reached out via phone at 801-763-3885 and via fax at 801-763-3887.

Location: 1184 E 80 N, American Fork, UT, 84604-3305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073604609
Provider Name
Mark C Sanderson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1184 E 80 N, American Fork, UT, 84604-3305
Phone Number
801-763-3885
Fax Number
801-763-3887
Provider Enumeration Date
09/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
107005288103 01 UT IHC
13-00081 01 UT UNITED HEALTHCARE
215832 01 UT ALTIUS
54270 01 UT DMBA
870281028SAN 01 UT EMIA
79371 01 UT PEHP
870281028000 05 UT
P00167990 01 UT PALMETTO
institution
Provider Business Practice Location Address Details
Address
1184 E 80 N
City
American Fork
State
Utah
Zip
84003-2906
Phone Number
801-763-3885
Fax Number
801-763-3887
person
Provider Business Mailing Address Details
Address
1184 E 80 N
City
American Fork
State
Utah
Zip
84003-2906
Phone Number
801-763-3885
Fax Number
801-763-3887
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Hand Surgery
Taxonomy
207XS0106X
License No.
187115-1205 (Utah)
Definition
An orthopedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Plastic Surgery
Speciality
Surgery of the Hand
Taxonomy
2082S0105X
License No.
187115-1205 (Utah)
Definition
A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
2086S0122X
License No.
187115-1205 (Utah)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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