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Individual

OSCAR D SALAZAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
975 E THIRD ST, CHATTANOOGA, TN 37403-2147
(423) 778-7608
(423) 778-2360
Mailing address
PO BOX 11225, CHATTANOOGA, TN 37401-2225
(423) 892-5602
(423) 892-5838

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
52486
GA
207L00000X
Anesthesiology Physician
Primary
MD36960
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009968945
AL
05
081338663A
GA
05
3889653
TN
01
4078811
BLUE CROSS BLUE SHIELD TN
TN
05
89067CM
NC
01
N345288
WELLCARE (GA MEDICAID)
GA
01
P00155621
RAILROAD MEDICARE
TN
Enumeration date
11/16/2006
Last updated
01/14/2010
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