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NPI Code Detail

MEDICARE: JOHN B SOLOMON

MEDICARE:   JOHN B SOLOMON
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
1237700000XHearing Instrument Specialist556AR

General Provider Information

NPI Number : 1972091452
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN B SOLOMON
Provider Business Mailing Address
First Line : 444 HOSPITAL DR
Second Line :
City : MOUNTAIN HOME
State : AR
Zip : 72653-2900
Country : US
Telephone Number : 870-701-5142
Fax Number : 870-701-5144
Provider Business Practice Location Address
First Line : 444 HOSPITAL DR
Second Line :
City : MOUNTAIN HOME
State : AR
Zip : 72653-2900
Country : US
Telephone Number : 870-701-5142
Fax Number : 870-701-5144
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2018
Last Update Date : 04/30/2018

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Directions to “ JOHN B SOLOMON ” Practice Location

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