# MR. RICHARD SANTOSTEFANO SR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1275781387
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 13 | WV | Yes |
| 363AM0700X | Medical Physician Assistant | 723 | WV | — |

## Other

- **Enumeration date:** 09/03/2008
- **Last updated:** 01/12/2022