Organization
SHAKER EMERGENCY SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN A SORENSEN (ADMINISTRATOR)
(602) 431-1152
Entity
Organization
Contact information
Practice address
17201 INTERSTATE 45 S, THE WOODLANDS, TX 77385-3311
(936) 270-2000
(602) 431-2149
Mailing address
4919 E HAZEL DR UNIT 1, PHOENIX, AZ 85044-7776
(602) 431-1152
Taxonomy
Speciality
Code
Description
License number
State
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
03/06/2024
Last updated
12/03/2024
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