Individual
MR. STEPHEN A DE SANTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1280 E. ALMOND AVENUE, MADERA, CA 93637-5606
(559) 673-9021
(559) 673-0479
Mailing address
1280 E. ALMOND AVENUE, MADERA, CA 93637-5606
(559) 673-9021
(559) 673-0479
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G40996A
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WG40996A
PIN
CA
Enumeration date
07/29/2005
Last updated
02/25/2022
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