SANTOSH BANDUGULA REDDY

FORT DEFIANCE, AZ
NPI1114000833
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: DE  C1-0001770)
Enumeration Date2006-10-24
Last Update Date2014-10-02
Business Address
-- SANTOSH BANDUGULA REDDY MD
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Phone number: 928-729-8713
Mailing Address
-- SANTOSH BANDUGULA REDDY MD
P.O BOX 589 FORT DEFIANCE INDIAN HOSPITAL BOARD
FORT DEFIANCE, AZ 86504
Phone number: 928-729-8713