MEDICARE: DR. PETER LINDSAY SALK MD

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	207R00000X	Internal Medicine Physician	G21860	CA
2	207R00000X	Internal Medicine Physician	35.032356	OH

General Provider Information

NPI Number	:	1083881486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER LINDSAY SALK MD

Provider Business Mailing Address
First Line	:	7459 HIGH AVE
Second Line	:
City	:	LA JOLLA
State	:	CA
Zip	:	92037-5212
Country	:	US
Telephone Number	:	858-459-5935
Fax Number	:

Provider Business Practice Location Address
First Line	:	7459 HIGH AVE
Second Line	:
City	:	LA JOLLA
State	:	CA
Zip	:	92037-5212
Country	:	US
Telephone Number	:	858-459-5935
Fax Number	:

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

Provider Enumeration Date	:	05/14/2008
Last Update Date	:	05/14/2008

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