Individual
DR. VINCENT M SANTORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12333 NE 130TH LANE, #400, KIRKLAND, WA 98034-7467
(206) 323-1900
(206) 323-6868
Mailing address
901 BOREN AVE, #800, SEATTLE, WA 98104-3534
(206) 323-1900
(206) 323-6868
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD00025701
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0204542
WA STATE LABOR & INDUST
WA
01
—
0204542
L & I
—
01
—
2356SA
REGENCE BLUE SHIELD
WA
01
—
2356SA
REGENCE
—
Enumeration date
05/12/2006
Last updated
11/04/2010
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