Individual
JERRY W SONKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4000 S 700 E, STE 10, SLC, UT 84107-2180
(801) 268-4141
(801) 261-8609
Mailing address
4000 S 700 E, STE 10, SLC, UT 84107-2180
(801) 268-4141
(801) 261-8609
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
159823-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870354540001
—
UT
Enumeration date
03/22/2006
Last updated
06/29/2010
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