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NPI Code Detail

MEDICARE: DR. SALVATORE J BIAZZO DO

MEDICARE: DR. SALVATORE J BIAZZO DO
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
1207Q00000XFamily Medicine Physician1031NV

General Provider Information

NPI Number : 1518049154
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SALVATORE J BIAZZO DO
Provider Business Mailing Address
First Line : 517 ROSE ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4020
Country : US
Telephone Number : 702-366-1206
Fax Number : 702-366-0993
Provider Business Practice Location Address
First Line : 517 ROSE ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4020
Country : US
Telephone Number : 702-366-1206
Fax Number : 702-366-0993
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2006
Last Update Date : 07/08/2007

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Directions to “ DR. SALVATORE J BIAZZO DO” Practice Location

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