Individual provider · Type 1 NPI
Jeffrey R. Desanto, MD
Diagnostic Radiology Physician · Phoenix, AZ
NPI number
1992908586
Active
Practice location
350 W. Thomas Ave
Phoenix, AZ 85013
Mailing address
11614 N 40th Pl
Phoenix, AZ 85028-2242
Other practice locations
- 676 N Saint Clair St Ste 800, Chicago, IL 60611-2978 · (312) 695-5753
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 036125321 (IL) |
| Diagnostic Radiology Physician Primary | 2085R0202X | 125046527 (IL) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1992908586
Jeffrey R. Desanto, MD's National Provider Identifier is 1992908586, issued on Jun 9, 2007. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Phoenix, AZ. The record was last updated on Dec 26, 2024.