Individual
JOHN DALE PATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
991 BALEN HAZEN RD, RYEGATE, VT 05042
(802) 584-3928
Mailing address
BOX 316, 991 BALEN HAZEN RD, RYEGATE, VT 05042
(802) 584-3928
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
9255
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007131
—
VT
05
—
30007010
—
NH
Enumeration date
07/12/2006
Last updated
07/08/2007
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