Individual
DR. AMBROSIO A SOLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 17TH ST, WOODWARD, OK 73801-2448
(580) 256-5511
(405) 751-3183
Mailing address
4401 W MEMORIAL RD, #121, OKLAHOMA CITY, OK 73134-1785
(405) 751-4664
(405) 751-3183
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
11827
OK
207R00000X
Internal Medicine Physician
11827
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100229540A
—
OK
Enumeration date
06/21/2006
Last updated
09/19/2012
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