SearchIdaho2255A2300X

Fernando Santana

NPI 1124733175 · on the registry since 2023

Practice

Address
120 N 16th Ave
Pocatello, ID 83201
Phone
(208) 650-9917

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-01-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho