Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 657 | NC |
N | 213ES0103X | Foot & Ankle Surgery | 657 | NC |
N | 213ES0131X | Foot Surgery | 657 | NC |
NPI | 1306256599 |
---|---|
Provider Name | Dr. Alan E Sotelo |
First Address | Durham, NC 27704-2153 |
Second Address | Durham, NC 27704-2153 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2014 |
Last Update Date | 16/02/2021 |