# METRO OB GYN LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770501132
- **Authorized official:** JORGE F SOTOLONGO M.D. (PRESIDENT)
- **Authorized official phone:** (712) 329-5700

## Contact information

- **Practice address:** 201 RIDGE ST, \#307, COUNCIL BLUFFS, IA 51503-4643
- **Practice address phone:** (712) 329-5700
- **Practice address fax:** (712) 329-5759
- **Mailing address:** 201 RIDGE ST, \#307, COUNCIL BLUFFS, IA 51503-4643
- **Mailing address phone:** (712) 329-5700
- **Mailing address fax:** (712) 329-5759

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 367A00000X | Advanced Practice Midwife | — | NULL | — |
| 367A00000X | Advanced Practice Midwife | — | — | — |

## Other

- **Enumeration date:** 07/17/2006
- **Last updated:** 04/22/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0462903 | — | IA |