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Individual

DR. ANTONIO HODGES SANTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MDFAC

Contact information

Practice address
1645 VANDELAY AVE, HELENA, MT 59601-3929
(406) 731-8888
(406) 731-8318
Mailing address
PO BOX 6010, GREAT FALLS, MT 59406-6010
(406) 731-8888
(406) 731-8318

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
7778
MT
207Y00000X
Otolaryngology Physician
Primary
7778
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0013936
MT
01
009651
BLUE CROSS OF MONTANA
MT
01
240004926
RAILROAD MEDICARE NUMBER
MT
Enumeration date
10/03/2005
Last updated
01/08/2024
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