Individual
DR. DAVID BARRY SOLOMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10615 W THUNDERBIRD BLVD, SUITE 125, BLDG B, SUN CITY, AZ 85351-3033
(623) 974-3659
(623) 974-0018
Mailing address
10615 W THUNDERBIRD BLVD, SUITE 125, BLDG B, SUN CITY, AZ 85351-3033
(623) 974-3659
(623) 974-0018
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11510
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070013674
RAILROAD MEDICARE
—
01
—
2173735
AETNA PROVIDER
AZ
01
—
AZ0853180
BC PROVIDER ID
AZ
Enumeration date
01/24/2006
Last updated
04/01/2011
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