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Contact Information

MARK R SOLOMON, MD
407 14TH AVE SE
PUYALLUP, WA98372-3770
 Phone: 253-697-4110
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Pediatric Pulmonology

2080P0214X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MARK R SOLOMON · (Male)

NPI Number 1679533251
Status Active
Credentials MD
Entity Individual
Enumeration date 03/27/2006
Last updated 05/06/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • TX License # H9272
  • WA License # MD60034383
  • TX Medicaid 136293110
  • TX Medicaid 136293112
  • TX Other 0068PT BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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