Whalio Doctors

NPI 1013331271

Geno Anthony Santangelo, PAC

Practitioner Surgical Physician Assistant South Charleston, WV

Practice location

Address
4605 Maccorkle Ave SW, South Charleston, WV 25309-1311
Phone
(304) 389-7914
Mailing address
716 Plantation Dr, Hurricane, WV 25526-9155

Registered specialties

Surgical Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 00491 (WV)

Registry record

NPI
1013331271
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 Feb 2014
Record last updated
9 Feb 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.