Charles W Sorenson, MD | |
324 10th Ave Ste 178, Slc, UT 84103-2885 | |
(801) 408-2500 | |
(801) 408-1410 |
Full Name | Charles W Sorenson |
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Gender | Male |
Speciality | Urology |
Location | 324 10th Ave Ste 178, Slc, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053502815 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 1641971205 (Utah) | Primary |
Entity Name | Ihc Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
Mailing Address | Practice Location Address |
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Charles W Sorenson, MD 324 10th Ave Ste 178, Slc, UT 84103-2885 Ph: (801) 408-2500 | Charles W Sorenson, MD 324 10th Ave Ste 178, Slc, UT 84103-2885 Ph: (801) 408-2500 |
Dr. Scott A. Hopkins, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4252 Highland Dr., #200, Slc, UT 84124 Phone: 801-993-1800 Fax: 801-993-1699 | |
Dr. Steven N. Gange, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4252 Highland Dr, #200, Slc, UT 84124 Phone: 801-993-1800 Fax: 801-993-1699 | |
Dr. Lane C. Childs, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4252 Highland Dr, #200, Slc, UT 84124 Phone: 801-993-1800 Fax: 801-993-1699 | |
Dr. Peter C. Fisher, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 4252 Highland Dr, #200, Slc, UT 84124 Phone: 801-993-1800 Fax: 801-993-1699 |