Individual
MAELIN SORENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
650 ROUND VALLEY DR, PARK CITY, UT 84060-7571
(435) 333-1850
Mailing address
195 S 80 E, MIDWAY, UT 84049-6618
(435) 503-5473
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
14016801-1206
UT
390200000X
Student in an Organized Health Care Education/Training Program
PHYSICIANASSISTANT
UT
Other
Enumeration date
07/24/2023
Last updated
08/08/2024
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