Individual
MICHELLE PRISCILLA PATTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2301 S BROAD ST, PHILADELPHIA, PA 19148-3542
(215) 952-9000
Mailing address
2301 S BROAD ST, PHILADELPHIA, PA 19148-3542
(215) 952-9000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA054567
PA
Other
Enumeration date
10/19/2010
Last updated
11/30/2022
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