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Mr. Gary Stephen Sanderlin, MED
Specialist in Winslow, Arizona
NPI 1124188677

Gary Stephen Sanderlin is a Specialist based in Winslow, AZ. Gary Stephen Sanderlin practices in Winslow, AZ and has the professional credentials of MED. The NPI Number for Gary Stephen Sanderlin is 1124188677 and holds a License No. (Arizona).

The current practice location address for Gary Stephen Sanderlin is 201 W Mahoney St, Winslow, AZ and can be reached out via phone at 928-289-4812.

Location: 201 W Mahoney St, Winslow, AZ, 86047-2631
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124188677
Provider Name
Gary Stephen Sanderlin
Credential
MED
Provider Entity Type
Individual
Gender
Male
Address
201 W Mahoney St, Winslow, AZ, 86047-2631
Phone Number
928-289-4812
Fax Number
Provider Enumeration Date
12/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
879752 05 AZ
institution
Provider Business Practice Location Address Details
Address
201 W Mahoney St
City
Winslow
State
Arizona
Zip
86047-2631
Phone Number
928-289-4812
Fax Number
person
Provider Business Mailing Address Details
Address
201 W Mahoney St
City
Winslow
State
Arizona
Zip
86047-2631
Phone Number
928-289-4812
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(Arizona)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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