Individual
GINA C SORIYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11600 W 2ND PL, LAKEWOOD, CO 80228-1527
(720) 321-4161
(721) 321-4165
Mailing address
PO BOX 5788, DENVER, CO 80217-5788
(303) 202-1280
(303) 202-1281
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
47039
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20326023101
PACIFICARE SECURE HORIZONS
CO
05
—
72181389
—
CO
Enumeration date
05/03/2007
Last updated
08/14/2013
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