Provider Demographics
NPI:1790917714
Name:PATRICK, MARY HOWARD ESTLER (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:HOWARD ESTLER
Last Name:PATRICK
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1155 MILL ST # MCM14
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-1576
Mailing Address - Country:US
Mailing Address - Phone:775-982-5262
Mailing Address - Fax:775-982-2865
Practice Address - Street 1:85 KIRMAN AVE STE 200
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1340
Practice Address - Country:US
Practice Address - Phone:775-982-2862
Practice Address - Fax:775-982-2865
Is Sole Proprietor?:No
Enumeration Date:2009-08-10
Last Update Date:2021-05-10
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Provider Licenses
StateLicense IDTaxonomies
WV253752084P0800X
KY495622084P0800X
NV191442084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry