Individual
EDNA SANTOS VIANZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1152 W 3RD ST STE 102, DAYTON, OH 45402-6848
(937) 268-3483
(937) 268-1884
Mailing address
PO BOX 933432, CLEVELAND, OH 44193-0039
(937) 641-5072
(937) 641-6129
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35083899V
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2462026
—
OH
Enumeration date
12/20/2005
Last updated
03/03/2026
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