NPI | 1912275538 |
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Doing Business As | PATTERSON PEDIATRIC GASTROENTEROLOGY PLLC |
Entity Type | Organization |
Authorized Contact | EDWARD LEE PATTERSON Owner/CEO 602-283-3165 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AZ 20901) |
Enumeration Date | 2011-12-09 |
Last Update Date | 2011-12-09 |