Healthcare Provider Details

I. General information

NPI: 1952755258
Provider Name (Legal Business Name): STEVEN ANDREW SOLOMON D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2016
Last Update Date: 08/13/2021
Certification Date: 08/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1830 N FRANKLIN ST STE 500
DENVER CO
80218-1169
US

IV. Provider business mailing address

1530 DETROIT ST APT 301
DENVER CO
80206-1749
US

V. Phone/Fax

Practice location:
  • Phone: 303-825-8584
  • Fax:
Mailing address:
  • Phone: 513-225-0743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberDR0061993
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberDR0061993
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: