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Individual

MR. RICHARD D PATTERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
2610 E JEFFERSON BLVD, SOUTH BEND, IN 46615-2724
(574) 271-1771
(575) 271-8014
Mailing address
2610 E JEFFERSON BLVD, SOUTH BEND, IN 46615-2724
(574) 271-1771
(575) 271-8014

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002095
IN
111N00000X
Chiropractor
CHIRO05965
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200465270A
IN
Enumeration date
07/11/2006
Last updated
09/12/2011
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