Organization
ENT PROFESSIONAL ASSOCIATION SERVICES
Active
Other names
ENT SPECIALISTS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY W SONKENS M.D. (PRESIDENT)
(801) 268-4141
Entity
Organization
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
5239
UT
Other
Enumeration date
03/28/2006
Last updated
06/29/2010
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