Individual
STEPHEN D. SANTORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
FAIRFAX ROAD AT VIRGINIA STREET, SHRINERS HOSPITALS FOR CHILDREN, SALT LAKE CITY, UT 84103-4399
(801) 536-3600
(801) 536-3686
Mailing address
SHRINERS HOSPITALS FOR CHILDREN SALT, DEPT 5034, LOS ANGELES, CA 90084-0001
(813) 281-8478
(813) 281-8113
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
173416-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91082008
—
CO
Enumeration date
04/20/2006
Last updated
09/15/2010
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