Individual
KEATON ANDREW SORENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
19555 N 59TH AVE, GLENDALE, AZ 85308-6813
(623) 572-3200
Mailing address
5518 W ANDREA DR, PHOENIX, AZ 85083-6311
(602) 910-1268
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AZ
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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