Individual
DIOSDADO A SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
403 12TH ST, WINDBER, PA 15963-1726
(814) 467-5544
(814) 467-4990
Mailing address
403 12TH ST, WINDBER, PA 15963-1726
(814) 467-5544
(814) 467-4990
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD048065L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001300324006
—
PA
Enumeration date
04/11/2006
Last updated
06/25/2008
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