Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 01068590A | IN |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 036098129 | IL |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 33259 | SC |
N | 208G00000X | Cardiothoracic Vascular Surgeon | G87647 | CA |
NPI | 1063449080 |
---|---|
Provider Name | David H Savage |
First Address | Bloomington, IN 47403-2209 |
Second Address | Bloomington, IN 47403-2209 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2006 |
Last Update Date | 16/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036098129 | (05) | IL |
201376340 | (05) | IN |
332599 | (05) | SC |
AA6248 | (02) | SC |
H30243 | (02) | CA |
H30243 | (02) | IL |