Individual
JAMES P DESANTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
809 TURNPIKE AVE, CLEARFIELD, PA 16830-1232
(814) 768-2470
(814) 768-2374
Mailing address
809 TURNPIKE AVE, CLEARFIELD, PA 16830-1232
(814) 768-2470
(814) 768-2374
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS0040A8L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011447500001
—
PA
Enumeration date
07/05/2006
Last updated
07/08/2007
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