Individual
JOHN D. PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3850 E LOHMAN AVE, STE 100, LAS CRUCES, NM 88011-8288
(575) 521-0793
(575) 532-7172
Mailing address
3850 E LOHMAN AVE, STE 100, LAS CRUCES, NM 88011-8288
(575) 521-0793
(575) 532-7172
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
1140
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K-219
BLUE CROSS BLUE SHIELD
NM
Enumeration date
06/02/2006
Last updated
04/16/2014
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