Provider Demographics
NPI:1760712517
Name:GLADDING, PATRICK ALTON (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:ALTON
Last Name:GLADDING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2409 LEE RD
Mailing Address - Street 2:CLEVELAND HEIGHTS
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44118-4124
Mailing Address - Country:US
Mailing Address - Phone:216-924-9099
Mailing Address - Fax:
Practice Address - Street 1:2409 LEE RD
Practice Address - Street 2:CLEVELAND HEIGHTS
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44118-4124
Practice Address - Country:US
Practice Address - Phone:216-924-9099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-29
Last Update Date:2009-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist