Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 0101262882 | VA |
NPI | 1003806183 |
---|---|
Provider Name | Arturo Saavedra |
First Address | Charlottesville, VA 22906-9007 |
Second Address | Charlottesville, VA 22908-5804 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2005 |
Last Update Date | 07/10/2020 |