Individual
PATRICK DENNIS BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 PASEO CAMARILLO, CAMARILLO, CA 93010-6073
(805) 484-8558
Mailing address
1100 PASEO CAMARILLO, CAMARILLO, CA 93010-6073
(805) 484-8558
(805) 484-3099
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
A135551
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB257093
MEDICARE PTAN
CA
Enumeration date
06/14/2011
Last updated
08/30/2016
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