MEDICARE: MRS. DANA ELAINE SAVAGE RM, CPM

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	176B00000X	Midwife	53	CO

General Provider Information

NPI Number	:	1427082148
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DANA ELAINE SAVAGE RM, CPM

Provider Business Mailing Address
First Line	:	1840 DEER CREEK RD
Second Line	:	SUITE 204
City	:	MONUMENT
State	:	CO
Zip	:	80132-9089
Country	:	US
Telephone Number	:	719-332-0331
Fax Number	:	719-487-8088

Provider Business Practice Location Address
First Line	:	1840 DEER CREEK RD
Second Line	:	SUITE 204
City	:	MONUMENT
State	:	CO
Zip	:	80132-9089
Country	:	US
Telephone Number	:	719-332-0331
Fax Number	:	719-487-8088

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

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	10/06/2007

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