Basic Information
Provider Information
NPI: 1124415807
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAUNDERS
FirstName: RICHARD
MiddleName: KENWYN
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 MEDICAL CENTER DR
Address2: DHMC DEPARTMENT OF MEDICINE
City: LEBANON
State: NH
PostalCode: 037561000
CountryCode: US
TelephoneNumber: 6036507515
FaxNumber:  
Practice Location
Address1: 1 MEDICAL CENTER DR
Address2: HOSPITAL MEDICINE
City: LEBANON
State: NH
PostalCode: 03756
CountryCode: US
TelephoneNumber: 6036508380
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/21/2015
LastUpdateDate: 06/15/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X19004NHN Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000X19004NHY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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