Individual
ROGER PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
67W 200S, KANAB, UT 84741
(435) 899-9436
Mailing address
67W 200S, KANAB, UT 84741
(435) 899-9436
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6421080-4701
UT
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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