Individual
MR. JONATHON S SOLOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
331 SIJEN AVE, WHITEMAN AFB, MO 65305-1269
(660) 687-2188
Mailing address
331 SIJEN AVE, WHITEMAN AFB, MO 65305-1269
(660) 687-2188
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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