Ira Louis Salom MD

NPI 1124027750 - Internal Medicine - 207RG0300X

NPI Details
NPI 1124027750
Gender Male
Enumeration Date 07/15/2005
Last Updated 01/15/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
US HIGHWAY 491 NORTH
POSTAL STOP 160 RE NPPES
SHIPROCK NM, 87420-0160, US
Phone (505) 368-6001
Fax (505) 368-6260
Business Location
PO BOX 1710
RE NPPES
SHIPROCK NM, 87420-1710, US
Phone (201) 207-4846
Fax (212) 202-4838
Toxanomy
Taxonomy Code 207RG0300X
License State New York
License Number 134798
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According to our database, Ira Louis Salom MD NPI is 1124027750, taxonomy code is 207RG0300X and license number is 134798, license state is located at New York. Ira Louis Salom MD physically located at Us Highway 491 North, Shiprock NM, 87420-0160. NPI Number Ira Louis Salom MD has the Individual type.

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1124027750 NPI number is provided on an as is basis without warranty of any kind. 1124027750 is maintained by the National Plan & Provider Enumeration System. The contents of Ira Louis Salom MD are for informational purposes only.