Individual
DR. SANTIAGO L LARDIZABAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19424 N RH JOHNSON BLVD, SUN CITY WEST, AZ 85375
(623) 584-9985
(623) 584-9986
Mailing address
PO BOX 7640, SURPRISE, AZ 85374
(623) 584-9985
(623) 584-9986
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
14445
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
239427
—
AZ
Enumeration date
03/03/2006
Last updated
03/02/2017
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