Centurion, Santiago Alberto

Centurion, Santiago Alberto is an individual health care provider with primary practice located at 106 Lynch Creek Way Suite 8, Petaluma CA 94954-2356. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Centurion, Santiago Alberto can be contacted via phone (707) 763-6816.

Contact Information

Primary practice address
106 Lynch Creek Way Suite 8 Petaluma CA 94954-2356
Phone: (707) 763-6816
Fax: (707) 763-1730
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 25MA07649600 New Jersey
Allopathic & Osteopathic Physicians / Dermatology 207N00000X A866380 California
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X A866380 California
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X A866380 California
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 231911-1 New York
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 231911-1 New York
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 231911-1 New York
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 25MA07649600 New Jersey
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 25MA07649600 New Jersey

Profile Details

NPI number 1710099585
LBN Legal business name Centurion, Santiago Alberto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Feb 24th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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