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NPI Code Detail

MEDICARE: DR. JOHN ELLIOTT SALOMONE MD

MEDICARE: DR. JOHN ELLIOTT SALOMONE MD
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
1207RA0201XAllergy & Immunology (Internal Medicine) Physician2022019819MO

General Provider Information

NPI Number : 1033777578
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN ELLIOTT SALOMONE MD
Provider Business Mailing Address
First Line : 1225 S GRAND BLVD FL 2
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63104-1016
Country : US
Telephone Number : 314-617-2355
Fax Number : 314-768-6616
Provider Business Practice Location Address
First Line : 1225 S GRAND BLVD FL 2
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63104-1016
Country : US
Telephone Number : 314-617-2355
Fax Number : 314-768-6616
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2019
Last Update Date : 01/22/2026

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