Individual
DR. WILFREDO J. SUNTAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3535 SOUTHERN BLVD, DAYTON, OH 45429-1221
(937) 395-8627
Mailing address
L-3402, COLUMBUS, OH 43260-0001
(814) 444-1919
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35060771S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0827430
—
OH
Enumeration date
11/23/2005
Last updated
09/03/2019
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