Santor, John R.
Santor, John R. is an individual health care provider with primary practice located at 6424 E Broadway Rd Ste 101 , Mesa AZ 85206-1750. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Santor, John R. can be contacted via phone (480) 456-9000.Contact Information
Primary practice address
6424 E Broadway Rd Ste 101
Mesa AZ 85206-1750
Phone: (480) 456-9000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2938 | Arizona |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 2938 | Arizona |
Profile Details
NPI number | 1750370839 |
---|---|
LBN Legal business name | Santor, John R. |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 20th, 2005 |
Last updated | Feb 11th, 2019 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1750370839 | NPPES |
Arizona | MEDICAID | 929713 |
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