Provider Demographics
NPI:1730124082
Name:PATERSON, DUANE JOHN (DC)
Entity Type:Individual
Prefix:
First Name:DUANE
Middle Name:JOHN
Last Name:PATERSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5300 S SOUTHERN HILLS COURT
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72758
Mailing Address - Country:US
Mailing Address - Phone:916-683-3900
Mailing Address - Fax:916-683-3339
Practice Address - Street 1:5300 S SOUTHERN HILLS CT STE 100
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-3500
Practice Address - Country:US
Practice Address - Phone:916-683-3900
Practice Address - Fax:916-683-3339
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22807111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor