Individual
DANIEL EDWARD SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
144 STONY POINT RD, SANTA ROSA, CA 95401-4122
(707) 521-4500
(707) 544-4626
Mailing address
144 STONY POINT RD, SANTA ROSA, CA 95401-4122
(707) 521-4500
(707) 544-4626
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A69602
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A696020
—
CA
Enumeration date
07/13/2006
Last updated
12/17/2021
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