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Organization
PATRICK MEZU MD LLC
Active
Organization
PATRICK MEZU MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK U MEZU MD (OWNER, AUTHORIZED SIGNER)
(937) 238-9167
Entity
Organization
Contact information
Practice address
2400 MIAMI VALLEY DR, CENTERVILLE, OH 45459-4774
(937) 660-6907
(937) 350-6477
Mailing address
PO BOX 750084, DAYTON, OH 45475-0084
(937) 238-9167
(937) 350-6477
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35076704
OH
208M00000X
Hospitalist Physician
Primary
35076704
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0117017
—
OH
01
—
H19401
MEDICARE PTAN
OH
Enumeration date
12/22/2014
Last updated
10/29/2024
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