Individual
JACK WARREN SAUNDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
914 PINE STREET, MOUNT SHASTA, CA 96067-2143
(530) 926-6111
Mailing address
P.O. BOX 12259, WESTMINSTER, CA 92685-2259
(888) 634-8405
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
G32096
CA
207P00000X
Emergency Medicine Physician
G32096
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G320960
—
CA
Enumeration date
08/10/2006
Last updated
07/02/2008
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