Provider Demographics
NPI:1124266473
Name:HITE, PATRICK
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:
Last Name:HITE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7026 COMMERCE PARK DR
Mailing Address - Street 2:SUITE 2
Mailing Address - City:MIDVALE
Mailing Address - State:UT
Mailing Address - Zip Code:84047-1026
Mailing Address - Country:US
Mailing Address - Phone:801-566-5795
Mailing Address - Fax:801-566-5790
Practice Address - Street 1:7026 S COMMERCE PARK DR
Practice Address - Street 2:SUITE 2
Practice Address - City:MIDVALE
Practice Address - State:UT
Practice Address - Zip Code:84047-1026
Practice Address - Country:US
Practice Address - Phone:801-566-5795
Practice Address - Fax:801-566-5790
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-24
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT263744367332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies