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NPI Code Detail

MEDICARE: SOLOMON OBINNA JEPHTER

MEDICARE: SOLOMON OBINNA JEPHTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramAR

General Provider Information

NPI Number : 1477496420
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOLOMON OBINNA JEPHTER
Provider Business Mailing Address
First Line : 1301 S E ST
Second Line :
City : FORT SMITH
State : AR
Zip : 72901-4716
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1301 S E ST
Second Line :
City : FORT SMITH
State : AR
Zip : 72901-4716
Country : US
Telephone Number : 479-785-2431
Fax Number : 479-494-7787
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “ SOLOMON OBINNA JEPHTER ” Practice Location

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