Provider Demographics
NPI:1821328220
Name:SANTOS, ARTHUR BULOS
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:BULOS
Last Name:SANTOS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:337 AMBERSTONE LN
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94582-5738
Mailing Address - Country:US
Mailing Address - Phone:925-216-1222
Mailing Address - Fax:
Practice Address - Street 1:555 PETERS AVE
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-6677
Practice Address - Country:US
Practice Address - Phone:925-323-3435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-06
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy