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Individual

NICOLE MARIE SOTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2830 N WASHINGTON ST, BISMARCK, ND 58503-1482
(701) 323-6400
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD56521
TN
207N00000X
Dermatology Physician
Primary
PT16859
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1574538
AK
05
FS1061150
ND
05
Q031724
TN
Enumeration date
11/14/2005
Last updated
04/04/2022
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