person
Dante De Los Santos Bruno, MD
General Practice Physician in South Boston, Virginia
NPI 1700886298

Dante De Los Santos Bruno is a General Practice Physician based in South Boston, VA. Dante De Los Santos Bruno practices in South Boston, VA and has the professional credentials of MD. The NPI Number for Dante De Los Santos Bruno is 1700886298 and holds a License No. 53781 (Virginia).

The current practice location address for Dante De Los Santos Bruno is 1020 Bill Tuck Hwy, South Boston, VA and can be reached out via phone at 484-575-7555 and via fax at 484-575-5556.

Location: 1020 Bill Tuck Hwy, South Boston, VA, 24592-7136
person
Provider Profile Details
NPI Number
1700886298
Provider Name
Dante De Los Santos Bruno
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1020 Bill Tuck Hwy, South Boston, VA, 24592-7136
Phone Number
484-575-7555
Fax Number
484-575-5556
Provider Enumeration Date
07/26/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
324615 01 VA BCBS
institution
Provider Business Practice Location Address Details
Address
1020 Bill Tuck Hwy
City
State
Zip
24592-7136
Phone Number
484-575-7555
Fax Number
484-575-5556
person
Provider Business Mailing Address Details
Address
1020 Bill Tuck Hwy
City
State
Zip
24592-7136
Phone Number
484-575-7555
Fax Number
484-575-5556
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
53781 (Virginia)
Definition
Definition to come...
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