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Individual
ROGER G. SANTALA
Active
Individual
ROGER G. SANTALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
6020
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000093730
BCBS PIN
MT
01
—
0109408
MDCD PIN
MT
01
—
101060300
MDCD PIN
WY
01
—
17622
ND BCBS
ND
01
—
307896
BCBS PIN
WY
Enumeration date
10/23/2006
Last updated
08/22/2022
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