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Individual

LEO SOLITO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3834 S EMERSON AVE, BUILDING C, SUITE 100, INDIANAPOLIS, IN 46203
(317) 782-1577
(317) 780-5539
Mailing address
PO BOX 3299, CARSON CITY, NV 89702-3299
(775) 222-0044
(888) 700-0187

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
01051385A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200234060
IN
Enumeration date
06/09/2006
Last updated
08/02/2018
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