Individual
DR. RAFAEL SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
440 E TAMPA ST, SPRINGFIELD, MO 65806-1131
(417) 831-0150
Mailing address
440 E TAMPA ST, SPRINGFIELD, MO 65806-1131
(417) 831-0150
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2004020481
MO
207Q00000X
Family Medicine Physician
MD2011-0716
NM
Other
Enumeration date
09/08/2005
Last updated
12/15/2015
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