Individual
DR. PATRICK RYAN REBADOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1540 E FRONT ST STE 103, CLAYTON, NC 27527-6126
(919) 550-1099
Mailing address
187 GARDEN VINE TRL, RALEIGH, NC 27610-8047
(484) 529-8200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5572
NC
Other
Enumeration date
01/06/2023
Last updated
07/22/2024
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