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Brock Randall Angelos, DPM
Podiatrist in Lincoln, Nebraska
NPI 1508978693

Brock Randall Angelos is a Podiatrist based in Lincoln, NE. Brock Randall Angelos practices in Lincoln, NE and has the professional credentials of DPM. The NPI Number for Brock Randall Angelos is 1508978693 and holds a License No. 194 (Nebraska).

The current practice location address for Brock Randall Angelos is 4213 O St, Lincoln, NE and can be reached out via phone at 402-488-8114.

Location: 4213 O St, Lincoln, NE, 68510-1751
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508978693
Provider Name
Brock Randall Angelos
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
4213 O St, Lincoln, NE, 68510-1751
Phone Number
402-488-8114
Fax Number
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02593 01 BCBS
47070731200 05 NE
institution
Provider Business Practice Location Address Details
Address
4213 O St
City
Lincoln
State
Nebraska
Zip
68510-1751
Phone Number
402-488-8114
Fax Number
person
Provider Business Mailing Address Details
Address
4213 O St
City
Lincoln
State
Nebraska
Zip
68510-1751
Phone Number
402-488-8114
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
194 (Nebraska)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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