Healthcare Provider Details

I. General information

NPI: 1043328552
Provider Name (Legal Business Name): DAVID WAYNE SANCHEZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

729 E RAILROAD AVE
FORT MORGAN CO
80701-3340
US

IV. Provider business mailing address

2469 ALTO ST
FORT LUPTON CO
80621-2471
US

V. Phone/Fax

Practice location:
  • Phone: 303-697-2583
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDR.0075540
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: