Individual
THOMAS DE SANTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 706-6892
(541) 706-6813
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-2261
(515) 643-5802
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R-11595
IA
Other
Enumeration date
05/30/2019
Last updated
09/13/2022
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