Individual
SCOTT H. SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
745 E GUADALUPE RD, TEMPE, AZ 85283-2911
(480) 618-0123
(520) 300-8051
Mailing address
PO BOX 746093, ATLANTA, GA 30374-6093
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1274
NE
363A00000X
Physician Assistant
Primary
9819
AZ
363AM0700X
Medical Physician Assistant
1274
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470376604-32
—
NE
05
—
ORDERING/REFERRING
—
IA
Enumeration date
06/14/2006
Last updated
12/26/2025
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