Individual
MR. STEVEN EARL VAN PATTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5757 W. THUNDERBIRD RD., E255, GLENDALE, AZ 85306-4687
(602) 843-1991
(602) 843-3224
Mailing address
5757 W. THUNDERBIRD RD., E255, GLENDALE, AZ 85306-4687
(602) 843-1991
(602) 843-3224
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2070
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2070
PA LICENSE
AZ
Enumeration date
04/09/2007
Last updated
09/13/2010
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