Individual
DR. JAMES A SALVATORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
916 INDIANA AVE, STE 120, PUEBLO, CO 81004-3572
(719) 296-5841
(719) 542-0746
Mailing address
PO BOX 570, PUEBLO, CO 81002-0570
(719) 296-5841
(719) 542-0746
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
30875
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01308758
—
CO
01
—
050051085
RR MEDICARE
—
01
—
30875
COLO STATE LICENSE
CO
01
—
CH6461
RR MEDICARE - GROUP
—
01
—
PH18408
BCBS
—
Enumeration date
09/21/2006
Last updated
03/07/2023
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