Organization
SANTOS INTERVENTIONAL PAIN MEDICINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRISPINO SANTOS SANTOS M.D. (PRESIDENT)
(702) 434-7246
Entity
Organization
Contact information
Practice address
2501 STOCKTON HILL RD, SUITE 106, KINGMAN, AZ 86401-4140
(928) 718-7210
(928) 718-7216
Mailing address
PO BOX 33309, LAS VEGAS, NV 89133-3309
(702) 434-7246
(702) 258-5581
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
44282
AZ
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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