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Solomon Dermatology, Inc.
Specialist in Peoria, Arizona
NPI 1033215405

Solomon Dermatology, Inc. is a Specialist based in Peoria, AZ. Solomon Dermatology, Inc. practices in Peoria, AZ. The NPI Number for Solomon Dermatology, Inc. is 1033215405 and holds a License No. 11510 (Arizona).

The current practice location address for Solomon Dermatology, Inc. is 11361 N 99Th Ave, Peoria, AZ and can be reached out via phone at 623-974-3659. You can also correspond with Solomon Dermatology, Inc. through the mailing address at 11361 N 99TH AVE, PEORIA, AZ - 85345-5470 (mailing address contact number: 623-974-3659).

Location: 11361 N 99Th Ave, Peoria, AZ, 85345-5470
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033215405
Provider Name
Solomon Dermatology, Inc.
Credential
Provider Entity Type
Organization
Address
11361 N 99Th Ave, Peoria, AZ, 85345-5470
Phone Number
623-974-3659
Fax Number
Provider Enumeration Date
09/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AZ0853180 01 AZ BC PROVIDER ID
99S010800001 01 AZ MEDISUN ID
2173735 01 AZ AETNA ID
institution
Provider Business Practice Location Address Details
Address
11361 N 99Th Ave
City
Peoria
State
Arizona
Zip
85345-5470
Phone Number
623-974-3659
Fax Number
person
Provider Business Mailing Address Details
Address
11361 N 99Th Ave
City
Peoria
State
Arizona
Zip
85345-5470
Phone Number
623-974-3659
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
11510 (Arizona)
Definition
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.
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