Individual
DR. RICHARD W DISANTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
715 LITTLE DEER CREEK VALLEY RD, RUSSELLTON, PA 15076-0064
(724) 265-2100
(724) 265-2122
Mailing address
715 LITTLE DEER CREEK VALLEY RD, RUSSELLTON, PA 15076-0064
(724) 265-2100
(724) 265-2122
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC001778L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1501577
—
PA
Enumeration date
02/21/2006
Last updated
04/22/2011
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