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NPI Code Detail

MEDICARE: DR. JOHN SORTEBERG M.D.

MEDICARE: DR. JOHN SORTEBERG M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician29032AZ
2207P00000XEmergency Medicine Physician29032AZ

General Provider Information

NPI Number : 1578500500
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN SORTEBERG M.D.
Provider Business Mailing Address
First Line : 7560 JONQUIL CT
Second Line :
City : RENO
State : NV
Zip : 89506-7805
Country : US
Telephone Number : 602-561-0935
Fax Number :
Provider Business Practice Location Address
First Line : 975 KIRMAN AVE
Second Line :
City : RENO
State : NV
Zip : 89502-0993
Country : US
Telephone Number : 775-328-1214
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2006
Last Update Date : 08/22/2022

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Directions to “ DR. JOHN SORTEBERG M.D.” Practice Location

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