IndividualActive
Mark Sanders, PA-C
NPI 1619018918 · Medical Physician Assistant · Rock Springs, WY
Provider details
- NPI number
- 1619018918
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 177 (WY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3000 College Dr
Rock Springs, WY 82901-4202
Phone: (307) 212-7708
Fax: (307) 352-8148
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1359
Rock Springs, WY 82902-1359
Registry dates
- Enumerated
- 2007-02-09
- Last updated
- 2020-01-23
- Certified
- 2020-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.