Individual
GREG L SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
150 S 100 W, OAK CITY, UT 84649-0045
(435) 406-6641
Mailing address
PO BOX 54, OAK CITY, UT 84649-0045
(435) 406-6641
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
5680456-4406
UT
Other
Enumeration date
02/06/2009
Last updated
05/18/2010
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