| Doctor Name: | BRYAN SANTIAGO |
| NPI Number: | 1184926602 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MD60395006 |
| Business Practice Address: | 208 N Euclid Rd Grandview, WA - 989309470 |
| Business Phone Number: | 5098821855 |
| Business Fax Number: | |
| Mailing Address: | Po Box 510, SUNNYSIDE |
| State: | WA |
| Postal Code: | 989440510 |
| Phone Number: | 5098371500 |
| Fax Number: | |
| NPI Enumeration Date: | 12/04/2010 |
| NPI Last Update Date: | 02/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | MD60395006 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |