Individual
DR. ALFREDO JOSE SOTO
Active
Individual
DR. ALFREDO JOSE SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301505995
MI
2084P0800X
Psychiatry Physician
MD21696
OR
2084P0804X
Child & Adolescent Psychiatry Physician
MD21696
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122564
—
OR
01
—
2019036194
STATE MEDICAL LICENSE
MO
01
—
MD21696
STATE MEDICAL LICENSE
OR
Enumeration date
08/29/2006
Last updated
03/07/2023
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