Individual
DR. SANTIAGO ENRIQUE ENCALADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 W 22ND ST, SIOUX FALLS, SD 57105-1521
(605) 312-1000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
R4834
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184989428
—
WI
05
—
378085001
—
TX
Enumeration date
07/12/2012
Last updated
02/02/2024
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