Organization
SOLOMON AMDEMARIAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOLOMON AMDEMARIAM M.D. (OWNER)
(623) 698-6741
Entity
Organization
Contact information
Practice address
2000 W BETHANY HOME RD, PHOENIX, AZ 85015-2443
(623) 594-7866
Mailing address
20280 N 59TH AVE, SUITE # 115 PMB 544, GLENDALE, AZ 85308-6850
(623) 594-7866
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31855
AZ
Other
Enumeration date
12/15/2006
Last updated
08/22/2020
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