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Individual

DR. SOLOMON YEBIO AMDEMARIAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
20280 N 59TH AVE, STE 115 PMB 544, GLENDALE, AZ 85308-6850
(623) 293-8480
(623) 594-7866
Mailing address
5901 W BEHREND DR, #1056, GLENDALE, AZ 85308-6943
(623) 594-7866
(623) 594-7866

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31855
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
856114
AZ
Enumeration date
05/15/2006
Last updated
05/12/2008
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