Individual
ROBERTA M PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4880 CENTURY PLAZA RD, STE 265, INDIANAPOLIS, IN 46254-5471
(317) 216-2700
(317) 216-2777
Mailing address
950 N MERIDIAN ST, STE 500 - PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46204-3908
(317) 962-4941
(317) 962-4950
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10000845
IN
Other
Enumeration date
06/16/2006
Last updated
04/04/2013
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