Most Relevant Information
Provider Data
| NPI Number: | 1003246745 |
| Provider Name: | PETER SANTIAGO C.O., C.PED., FAAOP |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/15/2013 |
| Last Updated: | 11/15/2013 |
Provider Practice Location
2315 STOCKTON BLVD
SACRAMENTO
CA
958172201
Practice Location Phone/Fax
| Phone: | 9167347045 |
| Fax: | 9167035191 |
Provider Mailing Location
2315 STOCKTON BLVD
SACRAMENTO
CA
958172201
Provider Mailing Phone/Fax
| Phone: | 9167347045 |
| Fax: | 9167035191 |