Provider Demographics
NPI:1427082148
Name:SAVAGE, DANA ELAINE (RM, CPM)
Entity type:Individual
Prefix:MRS
First Name:DANA
Middle Name:ELAINE
Last Name:SAVAGE
Suffix:
Gender:F
Credentials:RM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1840 DEER CREEK RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:MONUMENT
Mailing Address - State:CO
Mailing Address - Zip Code:80132-9089
Mailing Address - Country:US
Mailing Address - Phone:719-332-0331
Mailing Address - Fax:719-487-8088
Practice Address - Street 1:1840 DEER CREEK RD
Practice Address - Street 2:SUITE 204
Practice Address - City:MONUMENT
Practice Address - State:CO
Practice Address - Zip Code:80132-9089
Practice Address - Country:US
Practice Address - Phone:719-332-0331
Practice Address - Fax:719-487-8088
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2007-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO53176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife