Provider Demographics
NPI:1154662823
Name:SALVADOR, ANTHONY P (DO)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:P
Last Name:SALVADOR
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:4748 RELIABLE PARKWAY
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60686-0001
Mailing Address - Country:US
Mailing Address - Phone:316-685-2371
Mailing Address - Fax:316-652-0340
Practice Address - Street 1:410 W 10TH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-1240
Practice Address - Country:US
Practice Address - Phone:614-293-4333
Practice Address - Fax:614-293-6935
Is Sole Proprietor?:No
Enumeration Date:2013-03-06
Last Update Date:2019-05-12
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Provider Licenses
StateLicense IDTaxonomies
MI51010245982085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology