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MR. GARY STEPHEN SANDERLIN M.ED
NPI 1124188677
Specialist in Winslow, AZ

Active since December 12, 2006
201 W MAHONEY ST, WINSLOW, AZ 86047(928) 289-4812 Get Directions Write a Review

NPPES record last updated: July 26, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Gary Stephen Sanderlin M.ed NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GARY STEPHEN SANDERLIN M.ED (NPI 1124188677) is an individual specialist in Winslow, Arizona and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1124188677
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. GARY STEPHEN SANDERLINCredential: M.ED
Location Address201 W MAHONEY STWinslow, AZ 86047-2631
Mailing Address201 W Mahoney StWinslow, AZ 86047-2631 · (928) 289-4812
Phone(928) 289-4812
Sole ProprietorYes
Enumeration DateDecember 12, 2006
Last NPPES UpdateJuly 26, 2007
✔ NPI 1124188677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
201 W MAHONEY ST, Winslow, AZ 86047
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Other Identifiers 1

Medicaid879752AZ

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Sanderlin's NPI number?

The NPI number for Gary Sanderlin is 1124188677. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Gary Sanderlin located?

Gary Sanderlin practices at 201 W Mahoney St, Winslow, AZ 86047. The listed phone number is (928) 289-4812.

What is Gary Sanderlin's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Gary Sanderlin was last updated on July 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.