DR. Ronny Santosa, MD

NPI #1346317005 in Fort Defiance, Arizona

Provider Information

NPI Number: 1346317005
Entity Type: Individual
Name: DR. Ronny Santosa, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Nov 29, 2006
Last Updated: Oct 24, 2019

Practice Location

Address: CORNER OF ROUTE N12 AND N7
City: Fort Defiance
State: Arizona
ZIP Code: 86504
Phone: (928) 729-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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