Individual
EEAN PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
850 N 5TH ST, PHOENIX, AZ 85004-2289
(518) 596-6100
Mailing address
3623 N 5TH AVE # 23B1, PHOENIX, AZ 85013-3703
(518) 596-6100
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6776668887
EARLY INTERVENTION PROVIDER
AZ
Enumeration date
11/01/2022
Last updated
11/01/2022
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