Provider Demographics
NPI:1548224637
Name:PATTON, DAVID J (DO)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:J
Last Name:PATTON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 HIGHLAND PARK DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-8926
Mailing Address - Country:US
Mailing Address - Phone:724-439-4479
Mailing Address - Fax:724-439-4345
Practice Address - Street 1:2 HIGHLAND PARK DR
Practice Address - Street 2:SUITE 201
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-8926
Practice Address - Country:US
Practice Address - Phone:724-439-4479
Practice Address - Fax:724-439-4345
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS012705208000000X
WV3474208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019613130001Medicaid