Individual
DR. LARRY PATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4910 VALLEY VIEW BLVD NW, ROANOKE, VA 24012-2040
(540) 265-1604
(540) 265-1684
Mailing address
4910 VALLEY VIEW BLVD NW, ROANOKE, VA 24012-2040
(540) 265-1604
(540) 265-1684
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101040969
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00277055
MEDICARE RAILROAD
VA
Enumeration date
01/13/2006
Last updated
11/28/2007
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