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Organization
GREGG S. SORENSEN, MD
Active
Organization
GREGG S. SORENSEN, MD
Active
Other names
Willow Pass Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG SYNDER SORENSEN M.D. (PHYSICIAN/OWNER)
(925) 890-3356
Entity
Organization
Contact information
Practice address
53 MANOR DR, SUITE A, BAY POINT, CA 94565-6647
(925) 458-6125
(925) 458-8513
Mailing address
53 MANOR DR, SUITE A, BAY POINT, CA 94565-6647
(925) 890-3356
(925) 945-1417
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G55173
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0030700
—
CA
Enumeration date
12/26/2007
Last updated
12/26/2007
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