Brock Randall Angelos, DPM

NPI #1508978693 in Lincoln, Nebraska

Provider Information

NPI Number: 1508978693
Entity Type: Individual
Name: Brock Randall Angelos, DPM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Aug 31, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 4213 O ST
City: Lincoln
State: Nebraska
ZIP Code: 68510-1751
Phone: (402) 488-8114

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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