Individual provider · NPI-1

Alejandra De Santiago, D.O.

Family Medicine · Anadarko, OK

NPI number1730613522
StatusActive
Last updated in NPPESAug 3, 2020

Details

NPI
1730613522
Entity type
Individual (NPI-1)
Name
Alejandra De Santiago
Credential
D.O.
Sex
Female
Sole proprietor
No
Enumeration date
Apr 18, 2017
Certification date
Aug 3, 2020
Last updated
Aug 3, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine6398OKYes

Practice location

718 W Petree Rd
Anadarko, OK 73005-6024

Phone 405-632-6688

Mailing address

3000 N Grand Blvd
Oklahoma City, OK 73107-1818

Phone 405-632-6688

Other practice locations

201 W 1st St
Grandfield, OK 73546

Phone 405-632-6688

111 W Main St
Ft Cobb, OK 73038

Phone 405-632-6688

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