Organization
SOTA MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH MARTINEZ (ACCOUNT MANAGER)
(281) 346-3480
Entity
Organization
Contact information
Practice address
5380 AUTUMN DR, GREENWOOD VILLAGE, CO 80111-3424
(281) 346-3480
(281) 462-4106
Mailing address
15530 E BRONCOS PKWY UNIT 100, CENTENNIAL, CO 80112-7111
(281) 346-3480
(281) 462-4106
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
12/31/2019
Last updated
12/31/2019
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