Organization
KIDNEY AND MEDICAL SPECIALISTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. N DANIEL SANTACRUZ M.D. (PRESIDENT)
(757) 588-1100
Entity
Organization
Contact information
Practice address
7428 TIDEWATER DR, NORFOLK, VA 23505-3815
(757) 588-1100
Mailing address
7428 TIDEWATER DR, NORFOLK, VA 23505-3815
(757) 588-1100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101028564
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010370990
—
VA
Enumeration date
02/23/2007
Last updated
12/02/2009
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