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Individual

GEORGE MICHAEL PATTERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101038531
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007595034
VA
01
0421860001
NATIONAL SUPPLIER NUMBER
Enumeration date
10/10/2005
Last updated
04/28/2014
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