| Doctor Name: | DR. CHARLES FRANCIS SALERNO12 |
| NPI Number: | 1295702579 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 17147 |
| Business Practice Address: | 1650 Cochrane Cir Fort Carson, CO - 809134603 |
| Business Phone Number: | 7195242233 |
| Business Fax Number: | 7195267676 |
| Mailing Address: | 4 Hilton Ln, PUEBLO |
| State: | CO |
| Postal Code: | 810014607 |
| Phone Number: | 7195437225 |
| Fax Number: | 7195267676 |
| NPI Enumeration Date: | 03/04/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171000000X |
| License Number: | 17147 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Military Health Care Provider |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |