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Individual

DAVID KEITH PATTERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
27340
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01273408
CO
01
203291109-80033-A006
TRICARE
CO
Enumeration date
07/03/2006
Last updated
04/18/2008
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