Individual
SALVADOR SAUCEDO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
2351 INDIAN WELLS, ALAMOGORDO, NM 88310-5012
(575) 439-1397
Mailing address
PO BOX 2860, ALAMOGORDO, NM 88311-2860
(575) 439-1397
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3786
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
326563
MEDICARE
NM
05
—
65608739
—
NM
Enumeration date
05/22/2009
Last updated
06/09/2011
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