Organization
RUSSELL L. SORENSEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL L SORENSEN M.D. (PRESIDENT)
(801) 571-1552
Entity
Organization
Contact information
Practice address
9844 S 1300 E STE 250, SANDY, UT 84094-4691
(801) 571-1552
(801) 571-1562
Mailing address
9844 S 1300 E STE 250, SANDY, UT 84094-4691
(801) 571-1552
(801) 571-1562
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1638911205
UT
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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