Individual
DR. AMBROSE SOLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1338 PHAY AVE, BLDG D PEDS, CANON CITY, CO 81212
(719) 285-2091
(719) 285-2092
Mailing address
1338 PHAY AVE, BLDG D PEDS, CANON CITY, CO 81212-2326
(719) 285-2091
(719) 285-2092
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
8373A
WY
208000000X
Pediatrics Physician
Primary
DR.0057467
CO
208000000X
Pediatrics Physician
ME53270
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025039900
—
FL
01
—
1710915525
BCBS
WY
05
—
1710915525
—
WY
Enumeration date
06/29/2006
Last updated
12/04/2019
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