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Individual

DR. CASTEL ALANIZ SANTANA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
401 S COLTRANE RD STE 280, EDMOND, OK 73034-6722
(405) 906-3892
(405) 212-4907
Mailing address
401 S COLTRANE RD STE 280, EDMOND, OK 73034-6722
(405) 906-3892
(405) 212-4907

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30855
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1407812365
GROUP NPI NORTH BEND MEDICAL CENTER
OR
01
161133
GROUP MEDICAID NORTH BEND MEDICAL CENTER
OR
05
500658801
OR
01
930635514
GROUP TAX FOR BILLING NORTH BEND MEDICAL CENTER
OR
01
MD161990
MEDICAL LICENSE
OR
01
R0000WFBTV
GROUP MEDICARE NORTH BEND MEDICAL CENTER
OR
Enumeration date
04/09/2010
Last updated
01/09/2024
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