Provider Demographics
NPI:1316954761
Name:SAUNDERS, MORTON T (DO)
Entity type:Individual
Prefix:
First Name:MORTON
Middle Name:T
Last Name:SAUNDERS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:168 E MARKET ST
Mailing Address - Street 2:PO BOXX 3542
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44308-2038
Mailing Address - Country:US
Mailing Address - Phone:330-996-0347
Mailing Address - Fax:330-996-0359
Practice Address - Street 1:1700 BOETTLER RD STE 200
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:OH
Practice Address - Zip Code:44685-7794
Practice Address - Country:US
Practice Address - Phone:330-899-0693
Practice Address - Fax:330-899-1502
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2013-11-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH34007283S207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2302305Medicaid
P01017139Medicare PIN
OH2302305Medicaid
4065925Medicare PIN