Healthcare Provider Details

I. General information

NPI: 1194967521
Provider Name (Legal Business Name): ADAM THOMAS SORENSEN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2009
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1390 S POTOMAC ST STE 124
AURORA CO
80012-4529
US

IV. Provider business mailing address

1390 S POTOMAC ST STE 124
AURORA CO
80012-4529
US

V. Phone/Fax

Practice location:
  • Phone: 303-368-8611
  • Fax: 303-368-9791
Mailing address:
  • Phone: 303-368-8611
  • Fax: 303-368-9791

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number76388
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: