Organization
PATRICK R MCCREARY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK R MCCREARY I GRADUATE SWM COLLEGE (CEO)
(937) 674-1020
Entity
Organization
Contact information
Practice address
1204 HOLLOWBROOK DR, DAYTON, OH 45458-1828
(937) 674-1020
Mailing address
1204 HOLLOWBROOK DR, DAYTON, OH 45458-1828
(937) 674-1020
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN220411
DRIVER LICENSE
OH
Enumeration date
04/14/2022
Last updated
04/27/2022
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