Douglas Wayne Soderdahl, M.D. Valid NPI

Individual provider · Urology Physician · Fort Sam Houston, TX

NPI

1245217769

Type

Individual (Type 1)

Primary specialty

Urology Physician (Urology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208800000X

License number

34673-20 (WI)

Sex

Male

Sole proprietor

No

Enumerated

2005-12-27

Last updated

2015-05-13