Basic Information
| Provider Information | |||||||||
| NPI: | 1295789998 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SAVIERS | ||||||||
| FirstName: | DANIEL | ||||||||
| MiddleName: | ALAN | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2780 E BARNETT RD | ||||||||
| Address2: | |||||||||
| City: | MEDFORD | ||||||||
| State: | OR | ||||||||
| PostalCode: | 975048343 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5417765065 | ||||||||
| FaxNumber: | 5417765171 | ||||||||
| Practice Location | |||||||||
| Address1: | 2780 E BARNETT RD | ||||||||
| Address2: | |||||||||
| City: | MEDFORD | ||||||||
| State: | OR | ||||||||
| PostalCode: | 975048343 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5417765065 | ||||||||
| FaxNumber: | 5417765171 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/19/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208100000X | 16932 | OR | Y | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation |
ID Information
| ID | Type | State | Issuer | Description | 051826 | 05 | OR | MEDICAID |