Healthcare Provider Details

I. General information

NPI: 1851369441
Provider Name (Legal Business Name): RICHARD JAMES SOLYN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2006
Last Update Date: 07/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 N ALVERNON WAY SUITE 251
TUCSON AZ
85711-1843
US

IV. Provider business mailing address

2202 N FORBES BLVD
TUCSON AZ
85745-1412
US

V. Phone/Fax

Practice location:
  • Phone: 520-322-8460
  • Fax: 520-323-5742
Mailing address:
  • Phone: 520-322-8460
  • Fax: 520-323-5742

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number3345
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: