Doctor Name: | DAVID SOLIS |
NPI Number: | 1013044080 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 667 |
Business Practice Address: | 5995 Iris Parkway Frederick, CO - 805304849 |
Business Phone Number: | 3038332050 |
Business Fax Number: | 3038339183 |
Mailing Address: | 1360 S Potomac St, AURORA |
State: | CO |
Postal Code: | 800124505 |
Phone Number: | 3033375575 |
Fax Number: | 3037456264 |
NPI Enumeration Date: | 02/27/2007 |
NPI Last Update Date: | 01/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 667 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |