MEDICARE: MR. WALTER DAVID SELVAGE PA-C

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	363A00000X	Physician Assistant	94-PA05	NM

General Provider Information

NPI Number	:	1730309758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WALTER DAVID SELVAGE PA-C

Provider Business Mailing Address
First Line	:	2720 CALLE CEDRO
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87505-5297
Country	:	US
Telephone Number	:	505-660-4282
Fax Number	:

Provider Business Practice Location Address
First Line	:	1190 S SAINT FRANCIS DR
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87505-4173
Country	:	US
Telephone Number	:	505-827-0006
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1790580710 — URIEL NARSES MARTINEZ CAMPOS
Practice Location Address:

1190 S SAINT FRANCIS DR
SANTA FE, NM
87505-4173

Practice Phone: 575-882-3121
Practice Fax: 575-405-5472

1578609459 — NEW MEXICO DEPARTMENT OF HEALTH
Practice Location Address:

1190 S SAINT FRANCIS DR
SANTA FE, NM
87505-4173

Practice Phone: 505-827-2465
Practice Fax: 505-827-2465

1750411039 — CATHERINE AVERY
Practice Location Address:

1190 S SAINT FRANCIS DR RM N-1350
SANTA FE, NM
87505-4173

Practice Phone: 505-827-0083
Practice Fax: 505-827-0013

1114059011 — NEW MEXICO DEPARTMENT OF HEALTH
Practice Location Address:

1190 S SAINT FRANCIS DR , SUITE S-1150
SANTA FE, NM
87505-4173

Practice Phone: 505-827-2106
Practice Fax: 505-827-0163

1891919734 — RONALD EDWARD VOORHEES MD, MPH
Practice Location Address:

1190 S SAINT FRANCIS DR
SANTA FE, NM
87505-4173

Practice Phone: 505-827-2613
Practice Fax: 505-827-2530

1619197506 — NEW MEXICO DEPARTMENT OF HEALTH
Practice Location Address:

1190 S SAINT FRANCIS DR
SANTA FE, NM
87505-4173

Practice Phone: 505-827-0015
Practice Fax: 505-827-0021

Directions to “ MR. WALTER DAVID SELVAGE PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.