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Individual

MR. RICHARD SANTOSTEFANO SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1448 10TH AVE STE 100, HUNTINGTON, WV 25701-3580
(304) 529-0753
(304) 529-0591
Mailing address
1448 10TH AVE STE 100, HUNTINGTON, WV 25701-3580
(304) 529-0753
(304) 529-0591

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13
WV
363AM0700X
Medical Physician Assistant
723
WV

Other

Enumeration date
09/03/2008
Last updated
01/12/2022
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