IndividualActive
Gary Sanderson, D.O.
NPI 1467651232 · Emergency Medical Services (Emergency Medicine) Physician · Provo, UT
Provider details
- NPI number
- 1467651232
- Entity type
- Individual
- Primary specialty
- Emergency Medical Services (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4645 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1034 N 500 W
Provo, UT 84604-3380
Phone: (801) 373-7850
Approximate (ZIP-level) locationGet directions
Mailing address
312 N 700 E
Pleasant Grove, UT 84062-2448
Registry dates
- Enumerated
- 2007-07-12
- Last updated
- 2008-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.