Healthcare Provider Details

I. General information

NPI: 1508828104
Provider Name (Legal Business Name): MARK T SAUNDERS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2006
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 N 1200 W
OREM UT
84057-3522
US

IV. Provider business mailing address

48 W 1500 N
NEPHI UT
84648-8900
US

V. Phone/Fax

Practice location:
  • Phone: 801-224-4211
  • Fax: 801-226-3482
Mailing address:
  • Phone: 435-623-3102
  • Fax: 435-623-3290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number295019-1205
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number295019-1205
License Number StateUT
# 3
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number295019-1205
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: