Basic Information
| Provider Information | |||||||||
| NPI: | 1356452239 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SONNEN | ||||||||
| FirstName: | JOSHUA | ||||||||
| MiddleName: | AARON | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1950 CIRCLE OF HOPE DR | ||||||||
| Address2: | RM N3100 | ||||||||
| City: | SALT LAKE CITY | ||||||||
| State: | UT | ||||||||
| PostalCode: | 841125500 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8012134339 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 10810 EXECUTIVE CENTER DR STE 100 | ||||||||
| Address2: | |||||||||
| City: | LITTLE ROCK | ||||||||
| State: | AR | ||||||||
| PostalCode: | 722114386 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5016042695 | ||||||||
| FaxNumber: | 5016042699 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/31/2006 | ||||||||
| LastUpdateDate: | 09/19/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/19/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207ZN0500X | 66127 | WI | N | Allopathic & Osteopathic Physicians | Pathology | Neuropathology | 207ZN0500X | MD00045724 | WA | N | Allopathic & Osteopathic Physicians | Pathology | Neuropathology | 207ZN0500X | 8781350-1205 | UT | N | Allopathic & Osteopathic Physicians | Pathology | Neuropathology | 207ZN0500X | E-15880 | AR | Y | Allopathic & Osteopathic Physicians | Pathology | Neuropathology |
No ID Information.