Individual
DR. DAVID BRUCE PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
505 N. MARKET STREET, SUITE 101, ELIZABETHTOWN, PA 17022-1516
(717) 361-9130
(717) 689-5243
Mailing address
505 N. MARKET STREET, SUITE 101, ELIZABETHTOWN, PA 17022-1516
(717) 361-9130
(717) 689-5243
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
AJ005665L
PA
111N00000X
Chiropractor
Primary
DC-005665-L
PA
111N00000X
Chiropractor
DC005665L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01503292
—
PA
01
—
01891201
CAPITAL BLUE CROSS
PA
Enumeration date
11/07/2006
Last updated
02/10/2009
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