Provider Demographics
NPI:1922001007
Name:PATTERSON, DAVID L (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:L
Last Name:PATTERSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:14540 PRAIRIE LAKES BLVD N
Mailing Address - Street 2:SUITE 207
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46060-4366
Mailing Address - Country:US
Mailing Address - Phone:317-621-2455
Mailing Address - Fax:317-355-6166
Practice Address - Street 1:14540 PRAIRIE LAKES BLVD N
Practice Address - Street 2:SUITE 207
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-4366
Practice Address - Country:US
Practice Address - Phone:317-621-2455
Practice Address - Fax:317-355-6166
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2024-04-04
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01040013A207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
INF67344Medicare UPIN