| Victor H. Salazar-calderon, M.d., Pc | |
|
515 W Buckeye Rd Ste 208 Phoenix AZ 85003-2647 | |
| (602) 258-3305 | |
| (602) 257-4485 |
| Full Name | Victor H. Salazar-calderon, M.d., Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 515 W Buckeye Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Victor H Salazar-calderon (PHYSICIAN/OWNER) |
| Authorized Official Contact | 6022583305 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Victor H. Salazar-calderon, M.d., Pc 515 W Buckeye Rd Ste 208 Phoenix AZ 85003-2647 Ph: (602) 258-3305 | Victor H. Salazar-calderon, M.d., Pc 515 W Buckeye Rd Ste 208 Phoenix AZ 85003-2647 Ph: (602) 258-3305 |
| NPI Number | 1609832146 |
|---|---|
| Provider Enumeration Date | 04/24/2006 |
| Last Update Date | 02/12/2018 |
| Medicare PECOS PAC ID | 0840371373 |
|---|---|
| Medicare Enrollment ID | O20080122000698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609832146 | NPI | - | NPPES |
| 411075 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 18139 (Arizona) | Primary |
| Provider Name | Victor H Salazar Calderon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508822974 PECOS PAC ID: 4688692361 Enrollment ID: I20051110000925 |
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