Individual
MR. RYAN TREVOR PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DCNP
Contact information
Practice address
1600 E SPRINGHILL DR, TERRE HAUTE, IN 47802-4363
(812) 994-1404
(812) 742-9420
Mailing address
PO BOX 3445, INDIANAPOLIS, IN 46206-3445
(812) 994-1404
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
71001628A
IN
207N00000X
Dermatology Physician
AZ4948
AZ
363L00000X
Nurse Practitioner
71001628A
IN
363L00000X
Nurse Practitioner
AP4948
AZ
Other
Enumeration date
12/29/2006
Last updated
10/07/2020
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