Individual
MR. ROBERT MICHAEL DESANTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
655 7TH ST BLDG 700, ROBINS AFB, GA 31098-2227
(478) 222-4811
Mailing address
655 7TH ST BLDG 700, ROBINS AFB, GA 31098-2227
(478) 222-4811
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
10/02/2020
Last updated
09/25/2024
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