Individual
ELAINE T SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5501 N 19TH AVE STE 400, PHOENIX, AZ 85015-2456
(602) 249-9161
(602) 246-2853
Mailing address
3654 W ANTHEM WAY, SUITE B-114, ANTHEM, AZ 85086-0455
(623) 551-0442
(623) 551-0830
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
28536
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
532459
—
AZ
Enumeration date
05/31/2005
Last updated
11/27/2019
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