Individual
CHARLES LEE SOSEMAN HOLLIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
590 S WAKARA WAY RM A0058, SALT LAKE CITY, UT 84108-1200
(801) 581-2121
Mailing address
590 S WAKARA WAY RM A0058, SALT LAKE CITY, UT 84108-1200
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
30945
MN
207X00000X
Orthopaedic Surgery Physician
69880
MN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
14210215-1205
UT
Other
Enumeration date
04/21/2020
Last updated
12/29/2025
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