Individual
PHILLIP JUSTIN PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1802 BRAEBURN DR, SALEM, VA 24153-7357
(540) 772-3530
Mailing address
1802 BRAEBURN DR, SALEM, VA 24153-7357
(540) 772-3530
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
0101245497
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376604215
—
VA
Enumeration date
12/13/2006
Last updated
02/08/2022
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