Provider Demographics
NPI:1891789491
Name:SAVAGE, DAVID T (DPM)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:T
Last Name:SAVAGE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 E 100 N #2
Mailing Address - Street 2:
Mailing Address - City:PAYSON
Mailing Address - State:UT
Mailing Address - Zip Code:84651-2380
Mailing Address - Country:US
Mailing Address - Phone:801-465-1345
Mailing Address - Fax:801-465-1354
Practice Address - Street 1:1120 E 100 N #2
Practice Address - Street 2:
Practice Address - City:PAYSON
Practice Address - State:UT
Practice Address - Zip Code:84651-2380
Practice Address - Country:US
Practice Address - Phone:801-465-1345
Practice Address - Fax:801-465-1354
Is Sole Proprietor?:No
Enumeration Date:2005-09-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7822670-0501213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ789729Medicaid
U91019Medicare UPIN
75004Medicare ID - Type Unspecified