Individual
JOSHUA R SOLOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1120 S UTICA AVE, TULSA, OK 74104-4012
(918) 579-1218
Mailing address
1145 S UTICA AVE STE 110, TULSA, OK 74104-4013
(918) 579-3825
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0117181
OK
363LA2100X
Acute Care Nurse Practitioner
Primary
201465
OK
Other
Enumeration date
02/19/2021
Last updated
03/03/2021
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