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NPI Code Detail

MEDICARE: STEVEN ANDREW SOLOMON D.O.

MEDICARE: STEVEN ANDREW SOLOMON D.O.
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
12084P0804XChild & Adolescent Psychiatry PhysicianDR0061993CO
22084P0800XPsychiatry PhysicianDR0061993CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DR0061993OTHERCOSTATE LICENSE

General Provider Information

NPI Number : 1952755258
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN ANDREW SOLOMON D.O.
Provider Business Mailing Address
First Line : 1530 DETROIT ST APT 301
Second Line :
City : DENVER
State : CO
Zip : 80206-1749
Country : US
Telephone Number : 513-225-0743
Fax Number :
Provider Business Practice Location Address
First Line : 1830 N FRANKLIN ST STE 500
Second Line :
City : DENVER
State : CO
Zip : 80218-1169
Country : US
Telephone Number : 303-825-8584
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2016
Last Update Date : 08/13/2021

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