Individual
SARA MARIE SORACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1300 N 12TH ST, PHOENIX, AZ 85006-2848
(602) 839-6968
Mailing address
1173 E COUNTRY CROSSING WAY, SAN TAN VALLEY, AZ 85143-6184
(815) 953-7196
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
6807
AZ
Other
Enumeration date
09/19/2017
Last updated
09/19/2017
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