Joseph Anthony Sorge
Individual provider Active NPI Clinical Genetics (M.D.) Physician · Wilson, WY
NPI 1902307952 · NPPES record last updated Feb 26, 2018
Key facts
- NPI
- 1902307952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Genetics (M.D.) Physician 207SG0201X
- License
- G49614 (CA)
- Practice address
- 5320 Pine Meadow Road
Wilson, WY 83014 - Phone
- (307) 739-8990
- Fax
- (307) 739-8992
- NPI assigned
- Feb 26, 2018
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G49614 | CA | MD | Clinical Genetics (M.D.) Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Genetics (M.D.) Physician | 207SG0201X | G49614 | CA | Yes |
Addresses
Primary practice location
5320 Pine Meadow Road
Wilson, WY 83014
Mailing address
PO Box 11480
Jackson, WY 83002-1480
Phone (307) 739-8990
Other providers in Wilson, WY
- Region V Boces
- Region V Boces
- David R Shlim
- Victoria Menghetti Smith
- Snake River Orthopedics PC
- Mayling Sumicad
- Tiffany Jean Tate
- Marc Tetenman
- Teton Youth & Family Services- Red Top Meadows
- Teton Youth and Family Services
All providers in Wilson, WY · Clinical Genetics (M.D.) Physician in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.