Individual
JOSE RAUL SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1025 MOREHEAD MEDICAL DR, STE 600, CHARLOTTE, NC 28204-2963
(704) 355-8816
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2018-01839
NC
208600000X
Surgery Physician
85476
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100379157
—
WI
Enumeration date
06/13/2011
Last updated
12/09/2025
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