Individual
TERESSA J PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1530 NEEDMORE RD STE 101, DAYTON, OH 45414-3900
(937) 534-7330
(937) 395-3682
Mailing address
4340 CLYO RD STE 200, DAYTON, OH 45459-7000
(937) 396-2602
(937) 395-3682
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35051929
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0590301
—
OH
Enumeration date
11/14/2005
Last updated
12/03/2019
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