Individual
CARLY SORENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
505 W 400 N, OREM, UT 84057-1950
(801) 714-3450
(801) 714-3420
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9822714-1204
UT
Other
Enumeration date
03/27/2013
Last updated
12/21/2016
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