Provider Demographics
NPI:1497873806
Name:SALUDEZ, JOSEPHINE D (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:D
Last Name:SALUDEZ
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1600 9TH STREET
Mailing Address - Street 2:ROOM 250
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95814-6414
Mailing Address - Country:US
Mailing Address - Phone:916-651-3154
Mailing Address - Fax:916-653-6376
Practice Address - Street 1:3430 E. RUSSELL ROAD, SUITE319
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120
Practice Address - Country:US
Practice Address - Phone:702-214-4319
Practice Address - Fax:702-214-4328
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2012-10-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV79902083X0100X
CAA550302083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine