Healthcare Provider Details

I. General information

NPI: 1982679429
Provider Name (Legal Business Name): VICTOR SALAS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2006
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

709 W MAIN ST
MANCHESTER IA
52057-1526
US

IV. Provider business mailing address

709 W MAIN ST
MANCHESTER IA
52057-1526
US

V. Phone/Fax

Practice location:
  • Phone: 563-927-3232
  • Fax: 639-277-4865
Mailing address:
  • Phone: 319-462-6131
  • Fax: 319-462-4689

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD-32549
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: