Organization
ANN B PATTERSON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANN B PATTERSON M.D. (OWNER)
(812) 634-6646
Entity
Organization
Contact information
Practice address
721 W 13TH ST, SUITE 322, JASPER, IN 47546-1855
(812) 634-6646
(812) 634-2104
Mailing address
721 W 13TH ST, SUITE 322, JASPER, IN 47546-1855
(812) 634-6646
(812) 634-2104
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
01047312
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356310627
NPI TYPE I
IN
05
—
200227520A
—
IN
Enumeration date
02/14/2013
Last updated
02/14/2013
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