Individual
MR. PATRICK CHRISTOPHER KORTHUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
2400 EAST DR, BLDG 3650 RM 135, SCOTT AFB, IL 62225-5408
(618) 229-7221
Mailing address
932 MEDICAL SQUADRON, 2400 EAST DR. BLDG 3650, SCOTT AFB, IL 62225
(618) 229-7221
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
10/05/2009
Last updated
10/05/2009
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