Individual
MR. MAGNO C SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
2300 N YELLOWSTONE HWY, IDAHO FALLS, ID 83401-1662
(801) 503-7712
(208) 615-8005
Mailing address
2300 N YELLOWSTONE HWY STE 104, IDAHO FALLS, ID 83401-1662
(208) 538-1963
(208) 615-8005
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP4812
AZ
Other
Enumeration date
03/12/2013
Last updated
12/16/2022
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