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Individual

DR. EDWARD L PATTERSON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
515 W BUCKEYE RD, STE 105, PHOENIX, AZ 85003-2647
(602) 283-3165
(602) 283-3612
Mailing address
PO BOX 11489, CHANDLER, AZ 85248-0009
(602) 283-3165
(602) 283-3612

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20901
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
127820
AZ
Enumeration date
01/30/2006
Last updated
01/21/2009
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