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Individual

CRISPINO S SANTOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7190 SMOKE RANCH RD, SUITE 150, LAS VEGAS, NV 89128-8397
(702) 434-7246
(702) 258-5581
Mailing address
PO BOX 33309, LAS VEGAS, NV 89133-3309
(702) 434-7246
(702) 258-5581

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
8198
NV
207LP2900X
Pain Medicine (Anesthesiology) Physician
8198
NV
208VP0014X
Interventional Pain Medicine Physician
Primary
8198
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
20-02760
NV
01
V101852
MEDICARE ID-PIN
NV
Enumeration date
07/19/2005
Last updated
02/24/2015
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