Provider Demographics
NPI:1386094142
Name:SAVAGE, PHILLIP (DPM)
Entity type:Individual
Prefix:
First Name:PHILLIP
Middle Name:
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 1:1625 S BIRCH ST APT 1009
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-4146
Mailing Address - Country:US
Mailing Address - Phone:303-981-4922
Mailing Address - Fax:
Practice Address - Street 1:1421 S POTOMAC ST STE 120
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-4511
Practice Address - Country:US
Practice Address - Phone:303-839-6741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-13
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPOD.0000849213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist