Individual
MR. COREY ELLIS SONNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
340 S WILLARD ST, COTTONWOOD, AZ 86326-4126
(928) 639-6025
(928) 634-1117
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 213-6235
(928) 213-6292
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
4614
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
519850
—
AZ
Enumeration date
04/26/2010
Last updated
04/01/2021
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