Individual
RANDY D SORUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
230 NEBRASKA ST, SIOUX CITY, IA 51101-1733
(712) 252-9372
(712) 252-9327
Mailing address
230 NEBRASKA ST, SIOUX CITY, IA 51101-1733
(712) 252-9372
(712) 252-9327
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD-49706
IA
2085R0001X
Radiation Oncology Physician
MD00034810
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8206898
—
WA
Enumeration date
02/01/2006
Last updated
11/08/2024
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