Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ronny Santosa, MD

Individual provider Internal Medicine Physician · NPI 1346317005

Dr. Ronny Santosa, MD is an Internal Medicine Physician in Fort Defiance, Arizona. Works from 2 locations. Licensed in Maryland, Oregon and Wyoming.

Licensed in
MD, OR, WY
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

Corner Of Route N12 And N7
Fort Defiance, AZ 86504
Phone: (928) 729-8000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1233 Edgewater St Nw, Salem, OR 97304-4049 — (503) 378-7526

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD167344 (OR)
Internal Medicine Physician Taxonomy 207R00000X · Licence D50860 (MD)
Internal Medicine Physician Taxonomy 207R00000X · Licence 8428A (WY)

Record details

NPI number1346317005
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 29, 2006
Last updated in NPPESOctober 24, 2019

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