Individual
SANTIAGO JAVIER AGUILAR DUENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6019 WALNUT GROVE RD, MEMPHIS, TN 38120
(901) 226-3610
(901) 226-3612
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23275
MS
207R00000X
Internal Medicine Physician
Primary
47231
TN
207R00000X
Internal Medicine Physician
E-12764
AR
Other
Enumeration date
07/08/2008
Last updated
08/18/2020
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