MEDICARE: SANDRA KAY SAUNDERS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	G63481	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205861036
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA KAY SAUNDERS MD

Provider Business Mailing Address
First Line	:	P.O. BOX 3371
Second Line	:
City	:	ASHLAND
State	:	OR
Zip	:	97520
Country	:	US
Telephone Number	:	541-488-4198
Fax Number	:

Provider Business Practice Location Address
First Line	:	1990 N CALIFORNIA BLVD
Second Line	:	STE. 400
City	:	WALNUT CREEK
State	:	CA
Zip	:	94596-3742
Country	:	US
Telephone Number	:	925-225-5837
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	05/13/2016

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