MEDICARE: RONALD SALVAGGIONE, DC, PC

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
1	111N00000X	Chiropractor	4127	CO

General Provider Information

NPI Number	:	1265630081
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RONALD SALVAGGIONE, DC, PC

Provider Business Mailing Address
First Line	:	403 WINDCHIME PL
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80919-1984
Country	:	US
Telephone Number	:	719-598-6955
Fax Number	:	719-598-7157

Provider Business Practice Location Address
First Line	:	403 WINDCHIME PL
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80919-1984
Country	:	US
Telephone Number	:	719-598-6955
Fax Number	:	719-598-7157

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. RONALD SALVAGGIONE
Credential	:	D.C.
Telephone Number	:	719-598-6955

Provider Enumeration Date	:	07/03/2007
Last Update Date	:	05/21/2008

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