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SOLOMON DERMATOLOGY INC. NPI 1033215405


NPI Information

NPI: 1033215405
Provider Name: SOLOMON DERMATOLOGY, INC.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
11361 N 99TH AVE
SUITE 201
PEORIA, AZ
ZIP 85345
Phone: (623) 974-3659
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SOLOMON DERMATOLOGY, INC. is a specialist in Peoria, AZ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SOLOMON DERMATOLOGY, INC. NPI is 1033215405. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11361 N 99TH AVE
SUITE 201
PEORIA, AZ
ZIP 85345-470
Phone: (623) 974-3659

The provider's authorized official is David B Solomon .
The authorized official title is Owner and has the following contact phone number (623) 974-3659.

The enumeration date for this NPI number is 9/15/2006 and was last updated on 11/16/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist11510ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
199S010800001OTHERARIZONAMEDISUN ID
2E78346MEDICARE UPIN
3118412MEDICARE PINARIZONA
4AZ0853180OTHERARIZONABC PROVIDER ID
52173735OTHERARIZONAAETNA ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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