Individual
JORGE F SOTOLONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 RIDGE ST, #307, COUNCIL BLUFFS, IA 51503-4643
(712) 329-5700
(712) 329-5759
Mailing address
201 RIDGE ST, #307, COUNCIL BLUFFS, IA 51503-4643
(712) 329-5700
(712) 329-5759
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
18305
NE
207V00000X
Obstetrics & Gynecology Physician
Primary
27364
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06287
WELLMARK-ATLANTIC
—
05
—
10025407200
—
NE
01
—
20108
BCBSN
—
01
—
22905
WELLMARK-201 RIDGE
—
05
—
3060582
—
IA
05
—
3171538
—
IA
05
—
4171538
—
IA
05
—
42150546516
—
NE
05
—
42150546517
—
NE
05
—
42150546518
—
NE
05
—
42150546520
—
NE
05
—
5171538
—
IA
05
—
7171538
—
IA
05
—
8171538
—
IA
01
—
97474
WELLMARK-LAKESIDE
—
01
—
97475
WELLMARK-S. 24TH
—
01
—
97476
WELLMARK-CENTER
—
Enumeration date
08/31/2006
Last updated
07/09/2007
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