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NPI Code Detail

MEDICARE: DR. MICHAEL R. SALAYSAY M.D.

MEDICARE: DR. MICHAEL R. SALAYSAY M.D.
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
1207L00000XAnesthesiology Physician47054AZ
2207L00000XAnesthesiology PhysicianA31009CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346345030
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL R. SALAYSAY M.D.
Provider Business Mailing Address
First Line : 3269 N STOCKTON HILL RD
Second Line :
City : KINGMAN
State : AZ
Zip : 86409-3619
Country : US
Telephone Number : 928-757-2101
Fax Number : 928-263-4794
Provider Business Practice Location Address
First Line : 2735 SILVER CREEK ROAD
Second Line :
City : BULLHEAD CITY
State : AZ
Zip : 86442-7942
Country : US
Telephone Number : 928-763-2273
Fax Number : 928-763-0223
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2006
Last Update Date : 06/14/2019

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