Individual
ROBERT M SORENSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1544 W ANTELOPE DR, LAYTON, UT 84041-1146
(801) 773-3339
(801) 773-6727
Mailing address
54 W 1750 N, CENTERVILLE, UT 84014-1183
(801) 292-1452
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
182691-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870571510-003
—
UT
Enumeration date
12/15/2005
Last updated
07/08/2007
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