Individual
DR. RENATO M. SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 406-3430
(602) 406-4058
Mailing address
FILE 56765, LOS ANGELES, CA 90074-6765
(602) 406-3860
(602) 406-6132
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
13417
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291055
—
AZ
Enumeration date
08/02/2006
Last updated
04/19/2012
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