DR. Douglas Wayne Soderdahl, M.D.

NPI #1245217769 in Fort Sam Houston, Texas

Provider Information

NPI Number: 1245217769
Entity Type: Individual
Name: DR. Douglas Wayne Soderdahl, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Urology
Credential: M.D.
Enumeration Date: Dec 27, 2005
Last Updated: May 13, 2015

Practice Location

Address: 3851 ROGER BROOKE DRIVE
Address 2: MCHE-QD
City: Fort Sam Houston
State: Texas
ZIP Code: 78234-6200
Phone: (210) 916-2460

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider	171000000X
Urology	208800000X	Primary

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