Individual
MICHAEL BENJAMIN SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
124 S MCCLELLAND ST, SALT LAKE CITY, UT 84102-1503
(941) 376-0504
Mailing address
124 S MCCLELLAND ST, SALT LAKE CITY, UT 84102-1503
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
82787553102
UT
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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