# SOUTH VALLEY ORTHOMED, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073048344
- **Authorized official:** JOHN D SONNENBERG MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (801) 566-4242

## Contact information

- **Practice address:** 10623 S REDWOOD RD, STE 101, SOUTH JORDAN, UT 84095-2481
- **Practice address phone:** (801) 566-4242
- **Practice address fax:** (801) 987-3493
- **Mailing address:** 10623 S REDWOOD RD, STE 101, SOUTH JORDAN, UT 84095-2481
- **Mailing address phone:** (801) 566-4242
- **Mailing address fax:** (801) 987-3493

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/25/2017
- **Last updated:** 08/16/2017