Individual
LUIS SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6565 S YALE AVE STE 410, TULSA, OK 74136-8305
(918) 712-5571
Mailing address
6565 S YALE AVE STE 410, TULSA, OK 74136-8305
(918) 712-5571
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
33984
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200777030A
—
OK
05
—
2449711
—
LA
Enumeration date
03/21/2011
Last updated
01/05/2023
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