Individual
RENATO L DELOS SANTOS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 N 7TH ST, BISMARCK, ND 58501-4439
(701) 323-6000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01071762A
IN
207R00000X
Internal Medicine Physician
Q2120
TX
208M00000X
Hospitalist Physician
Primary
20970
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000790473
ANTHEM
IN
Enumeration date
10/06/2011
Last updated
10/30/2024
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