Healthcare Provider Details

I. General information

NPI: 1891789491
Provider Name (Legal Business Name): DAVID T SAVAGE DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 E 100 N #2
PAYSON UT
84651-2380
US

IV. Provider business mailing address

1120 E 100 N #2
PAYSON UT
84651-2380
US

V. Phone/Fax

Practice location:
  • Phone: 801-465-1345
  • Fax: 801-465-1354
Mailing address:
  • Phone: 801-465-1345
  • Fax: 801-465-1354

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number7822670-0501
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: