Brock Randall Angelos, DPM
Podiatrist in Lincoln, NE. Individual provider (NPI-1).
NPI number1508978693
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1508978693
- Entity type
- Individual (NPI-1)
- Name
- Brock Randall Angelos
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | 194 | NE | Yes |
Practice location
4213 O StLincoln, NE 68510-1751
Phone 402-488-8114
Mailing address
4213 O StLincoln, NE 68510-1751
Phone 402-488-8114
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All 11 Podiatrist providers in Lincoln · All 17,648 providers in Lincoln
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