Whalio Doctors

NPI 1053502815

Charles W Sorenson, MD

Practitioner Urology Physician Slc, UT

Practice location

Address
324 10th Ave STE 178, Slc, UT 84103-2885
Phone
(801) 408-2500
Fax
(801) 408-1410

Registered specialties

Urology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 1641971205 (UT)

Registry record

NPI
1053502815
Entity type
Individual
Sex (as registered)
Male
NPI issued
7 Aug 2007
Record last updated
7 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.