Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | BP10033746 | TX |
NPI | 1013150481 |
---|---|
Provider Name | Adam Michael Savage |
First Address | Ardmore, OK 73401-1206 |
Second Address | Ardmore, OK 73401-5761 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2009 |
Last Update Date | 29/07/2020 |