Individual
RICHARD A. SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1380 E MEDICAL CENTER DR, ST GEORGE, UT 84790-2123
(435) 251-1002
Mailing address
178 E SKY VIEW LN, WASHINGTON, UT 84780-2748
(435) 817-0332
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
7795038-1205
UT
207P00000X
Emergency Medicine Physician
M6405
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191463203
—
TX
05
—
191463204
—
TX
01
—
8AH277
BCBSTX
TX
01
—
8BX431
BCBSTX
TX
Enumeration date
02/27/2007
Last updated
09/21/2019
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