MEDICARE: MISS ANNE P SAVAGE PA

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	363A00000X	Physician Assistant	990	CO

Other Identifiers

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

General Provider Information

NPI Number	:	1669692018
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS ANNE P SAVAGE PA

Provider Business Mailing Address
First Line	:	1022 MONACO PKWY
Second Line	:	PO BOX 4313 MOORESVILLE, NC, 28117
City	:	DENVER
State	:	CO
Zip	:	80220-4649
Country	:	US
Telephone Number	:	704-658-7019
Fax Number	:

Provider Business Practice Location Address
First Line	:	1022 MONACO PKWY
Second Line	:	BUCKLEY AFB, AURORA CO 80014
City	:	DENVER
State	:	CO
Zip	:	80220-4649
Country	:	US
Telephone Number	:	303-355-8213
Fax Number	:

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

Provider Enumeration Date	:	04/26/2007
Last Update Date	:	07/08/2007

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