RANDY D SORUM

SIOUX CITY, IA
NPI1720059181
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0001X 
(Licence: IA  MD-49706)
Additional Taxonomies2085R0001X 
(Licence: WA  MD00034810)
Enumeration Date2006-02-01
Last Update Date2024-11-08
Business Address
RANDY D SORUM M.D.
230 NEBRASKA ST
SIOUX CITY, IA 51101-1733
Phone number: 712-252-9372
Mailing Address
RANDY D SORUM M.D.
230 NEBRASKA ST
SIOUX CITY, IA 51101-1733
Phone number: 712-252-9372
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