Individual
MR. PATRICK SCOTT HOULIHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
901 E 5TH ST, WASHINGTON, MO 63090-3127
(636) 239-8011
Mailing address
901 E 5TH ST, WASHINGTON, MO 63090-3127
(636) 239-8011
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2010006694
MO
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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