| Doctor Name: | DR. EDWARD ALLEN SAVALA |
| NPI Number: | 1063548279 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | M8226 |
| Business Practice Address: | 524 Cleveland Blvd Ste. 110 Caldwell, ID - 836054076 |
| Business Phone Number: | 2084593630 |
| Business Fax Number: | 2084593651 |
| Mailing Address: | 301 Cleveland Blvd, Ste. 110 CALDWELL |
| State: | ID |
| Postal Code: | 836053625 |
| Phone Number: | 2084593630 |
| Fax Number: | 2084593651 |
| NPI Enumeration Date: | 02/24/2007 |
| NPI Last Update Date: | 01/13/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | M8226 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |