Individual provider · Type 1 NPI
Eric So, D.P.M.
Foot & Ankle Surgery Podiatrist · Lincoln, NE
NPI number
1679969364
Active
Practice location
5055 A St Ste 400A
Lincoln, NE 68510-4957
Fax (402) 483-5372
Mailing address
18444 N 25th Ave Ste 310
Phoenix, AZ 85023-1266
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 376 (NE) |
| Podiatrist | 213E00000X | POD-000905 (AZ) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1679969364
Eric So, D.P.M.'s National Provider Identifier is 1679969364, issued on Apr 9, 2015. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Lincoln, NE. The record was last updated on Jan 22, 2021.