Individual
DR. PATRICK KOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
979 E 3RD ST, SUITE C-735, CHATTANOOGA, TN 37403-2136
(423) 778-9101
(423) 778-9190
Mailing address
975 E 3RD ST, ATTN: PROVIDER ENROLLMENT, CHATTANOOGA, TN 37403-2147
(423) 778-9101
(423) 778-9190
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
53977
TN
207RP1001X
Pulmonary Disease Physician
Primary
53977
TN
Other
Enumeration date
07/02/2007
Last updated
10/14/2020
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