Individual
DAVID STANLEY SORENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
7400 S POWER RD, SUITE 120, GILBERT, AZ 85297
(480) 988-1659
(480) 988-1871
Mailing address
7400 S POWER RD, SUITE 120, GILBERT, AZ 85297
(480) 988-1659
(480) 988-1871
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3574
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031813
MEDICARE
AZ
01
—
031814
MEDICARE
AZ
01
—
031815
MEDICARE
AZ
01
—
031820
MEDICARE
AZ
Enumeration date
11/29/2006
Last updated
02/23/2015
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