Individual
CHRISTINA M SORENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT00755
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162438
—
AZ
01
—
180024067
RAILROAD MEDICARE
AZ
01
—
86080015085259A225
TRIWEST
AZ
01
—
86080015085260A006
TRIWEST
AZ
Enumeration date
11/17/2005
Last updated
11/24/2014
Update your record
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