MEDICARE: DR. ROBERT T SAVAGE 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
1	207RP1001X	Pulmonary Disease Physician	G27715	CA

General Provider Information

NPI Number	:	1881694891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT T SAVAGE M.D.

Provider Business Mailing Address
First Line	:	320 SANTA FE DR
Second Line	:	SUITE 308
City	:	ENCINITAS
State	:	CA
Zip	:	92024-5138
Country	:	US
Telephone Number	:	760-632-4269
Fax Number	:	760-632-4256

Provider Business Practice Location Address
First Line	:	320 SANTA FE DR
Second Line	:	SUITE 308
City	:	ENCINITAS
State	:	CA
Zip	:	92024-5138
Country	:	US
Telephone Number	:	760-632-4269
Fax Number	:	760-632-4256

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

Provider Enumeration Date	:	08/01/2005
Last Update Date	:	09/21/2012

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