Provider Demographics
NPI:1023001658
Name:SANTIAGO, PATCHO N (MD)
Entity Type:Individual
Prefix:DR
First Name:PATCHO
Middle Name:N
Last Name:SANTIAGO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 555191
Mailing Address - Street 2:NAVAL HOSPITAL
Mailing Address - City:CAMP PENDLETON
Mailing Address - State:CA
Mailing Address - Zip Code:92055-5191
Mailing Address - Country:US
Mailing Address - Phone:760-725-1555
Mailing Address - Fax:760-725-1350
Practice Address - Street 1:NAVAL HOSPITAL CAMP PENDLETON
Practice Address - Street 2:#555191
Practice Address - City:CAMP PENDLETON
Practice Address - State:CA
Practice Address - Zip Code:92055-5191
Practice Address - Country:US
Practice Address - Phone:760-725-1555
Practice Address - Fax:760-725-1350
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-30
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01054943A2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry