Individual
DR. JORGE A SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1910 NONCONNAH BLVD, SUITE 120, MEMPHIS, TN 38132-2113
(901) 866-8813
(901) 302-2120
Mailing address
1407 UNION AVE, STE 640, MEMPHIS, TN 38104-3666
(901) 866-8375
(901) 302-2375
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
34499
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1513303
—
TN
05
—
3863348
—
TN
Enumeration date
04/28/2006
Last updated
08/18/2009
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