Provider Demographics
NPI:1033620687
Name:SANTONI, STEVE ISSAC (DC)
Entity Type:Individual
Prefix:
First Name:STEVE
Middle Name:ISSAC
Last Name:SANTONI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4149 S PACIFIC HWY STE 434
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97501-9104
Mailing Address - Country:US
Mailing Address - Phone:541-816-7710
Mailing Address - Fax:
Practice Address - Street 1:4149 S PACIFIC HWY STE 434
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97501-9104
Practice Address - Country:US
Practice Address - Phone:541-816-7710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-22
Last Update Date:2019-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5864111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor