Organization
SUD LLC
Active
Organization
SUD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN A SORENSEN (ADMINISTRATOR)
(602) 388-1180
Entity
Organization
Contact information
Practice address
4919 E HAZEL DR UNIT 1, PHOENIX, AZ 85044-7776
(602) 431-1152
Mailing address
4919 E HAZEL DR UNIT 1, PHOENIX, AZ 85044-7776
(602) 431-1152
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
02/27/2024
Last updated
01/21/2025
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