Individual
DAVID JACKSON PATEK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21 BELMONT AVE, BRATTLEBORO, VT 05301-7110
(802) 257-8363
(802) 258-4903
Mailing address
169 TOLMAN POND RD, NELSON, NH 03457-5521
(603) 847-9745
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
042-0007486
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003085
—
VT
Enumeration date
10/27/2005
Last updated
07/08/2007
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