Individual
KEN SODERLUND SATO
Active
Individual
KEN SODERLUND SATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
10583
HI
207T00000X
Neurological Surgery Physician
Primary
G85728
CA
207T00000X
Neurological Surgery Physician
MD24401
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G857280
—
CA
05
—
297482
—
OR
Enumeration date
10/14/2005
Last updated
04/07/2010
Update your record
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