Provider Demographics
NPI:1881828085
Name:SAVAGE, JESSE J (PHD, MD)
Entity type:Individual
Prefix:
First Name:JESSE
Middle Name:J
Last Name:SAVAGE
Suffix:
Gender:M
Credentials:PHD, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 20752
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93390-0752
Mailing Address - Country:US
Mailing Address - Phone:661-324-0500
Mailing Address - Fax:661-324-0600
Practice Address - Street 1:9330 STOCKDALE HWY STE 200
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-3615
Practice Address - Country:US
Practice Address - Phone:661-324-0500
Practice Address - Fax:661-324-0600
Is Sole Proprietor?:No
Enumeration Date:2009-05-04
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
IN01074986A207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program