NPI 1700886298

Dante de Los Santos Bruno, MD

Practitioner General Practice Physician South Boston, VA

Practice location

Address: 1020 Bill Tuck Hwy STE 900, South Boston, VA 24592-7136
Phone: (484) 575-7555
Fax: (484) 575-5556

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 53781 (VA)

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Registry record

NPI: 1700886298
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jul 2005
Record last updated: 7 Jul 2010

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.