Individual
DR. JEFFREY R DESANTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 W. THOMAS AVE, PHOENIX, AZ 85013
(602) 406-6281
Mailing address
11614 N 40TH PL, PHOENIX, AZ 85028-2242
(309) 648-8207
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036125321
IL
2085R0202X
Diagnostic Radiology Physician
Primary
125046527
IL
Other
Enumeration date
06/09/2007
Last updated
12/26/2024
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