Provider Information for 1003534298
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JAMES ARTER PATTERSON V
Sex: Male
NPI: 1003534298
Last Updated: 2022-08-15
Certification Date: 2022-08-15
Certification Date: 2022-08-15
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1003534298 | ||||||||
| Enumeration Date | 2022-08-15 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 5563 JBER, AK 99505-0563 United States Phone: 719-650-0275 | Fax: | ||||||||
| Primary Practice Address | 19036 RICHNER RD CHUGIAK, AK 99567-6726 United States Phone: 719-650-0275 | Fax: | ||||||||
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