MEDICARE: DR. RONALD G. SALVAGGIONE DC

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	:	1982601050
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD G. SALVAGGIONE DC

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	:

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	:

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

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	08/12/2008

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