Provider Demographics
NPI:1376509299
Name:SANTZ, JOS I (MD)
Entity Type:Individual
Prefix:DR
First Name:JOS
Middle Name:
Last Name:SANTZ
Suffix:I
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 87738
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-7738
Mailing Address - Country:US
Mailing Address - Phone:910-339-1446
Mailing Address - Fax:877-500-1463
Practice Address - Street 1:1750 METROMEDICAL DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-3861
Practice Address - Country:US
Practice Address - Phone:910-339-1446
Practice Address - Fax:877-500-1463
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2005-01471207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine