Russell L. Sorensen LLC

NPI #1568803773 in Sandy, Utah

Provider Information

NPI Number: 1568803773
Entity Type: Organization
Organization Name: Russell L. Sorensen LLC
Primary Specialty: Specialist
Enumeration Date: Jul 16, 2013
Last Updated: Jul 16, 2013

Practice Location

Address: 9844 S 1300 E STE 250
City: Sandy
State: Utah
ZIP Code: 84094-4691
Phone: (801) 571-1552

Authorized Official

Name: RUSSELL L SORENSEN, M.D.
Title: PRESIDENT
Phone: (801) 571-1552

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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