Individual
CHRISTOPHER C SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
500 W FORT ST # 111R, BOISE, ID 83702
(208) 422-1314
(208) 422-1388
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(120) 838-1874
(208) 422-1388
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MRO-1708
ID
207R00000X
Internal Medicine Physician
Primary
O-1560
ID
Other
Enumeration date
04/18/2018
Last updated
11/15/2021
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