Organization
SANTOS INTERVENTIONAL PAIN MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRISPINO SANTOS SANTOS M.D. (PRESIDENT)
(702) 434-7246
Entity
Organization
Contact information
Practice address
7190 SMOKE RANCH RD, SUITE 150, LAS VEGAS, NV 89128-8397
(702) 434-7246
(702) 258-5581
Mailing address
PO BOX 33309, LAS VEGAS, NV 89133-3309
(702) 434-7246
(702) 258-5581
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
8198
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002002760
—
NV
Enumeration date
11/20/2007
Last updated
05/22/2015
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