Individual
SERGIO FERNANDO SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7700 E FLORENTINE RD STE 206, PRESCOTT VALLEY, AZ 86314-2245
(928) 772-8217
(928) 442-8932
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
2003-0507
NM
207RC0000X
Cardiovascular Disease Physician
Primary
37164
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
226148
—
AZ
05
—
76485382
—
NM
01
—
WCSKQ
SUN HEALTH GROUP #
AZ
Enumeration date
06/08/2005
Last updated
02/10/2025
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