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Individual

RICHARD SORGEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
6915 E CHAPARRAL RD, SCOTTSDALE, AZ 85253-7032
(480) 321-9943

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
10002
HI
2085R0202X
Diagnostic Radiology Physician
Primary
14635
AZ

Other

Enumeration date
08/02/2006
Last updated
11/01/2011
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