MEDICARE: DR. EDUARDO SALDANA CANTU PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207SC0300X	Clinical Cytogenetics Physician	CANTUE1	NY

General Provider Information

NPI Number	:	1700078201
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDUARDO SALDANA CANTU PHD

Provider Business Mailing Address
First Line	:	3411 N 16TH ST APT 2050
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-7174
Country	:	US
Telephone Number	:	602-265-1322
Fax Number	:

Provider Business Practice Location Address
First Line	:	3411 N 16TH ST APT 2050
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-7174
Country	:	US
Telephone Number	:	602-265-1322
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2007
Last Update Date	:	08/17/2007

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