Richard Edward Patterson, PA-C
Physician Assistant, Surgical in Fairlawn, OH. Individual provider (NPI-1).
NPI number1285749366
StatusActive
Last updated in NPPESOct 8, 2021
Details
- NPI
- 1285749366
- Entity type
- Individual (NPI-1)
- Name
- Richard Edward Patterson
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2006
- Certification date
- Oct 8, 2021
- Last updated
- Oct 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 50.002025 | OH | Yes |
| 363AM0700X | Physician Assistant, Medical | 103901 | NC | |
| 363AM0700X | Physician Assistant, Medical | 937 | SC | |
| 363AM0700X | Physician Assistant, Medical | 50.002025 | OH | |
| 363AS0400X | Physician Assistant, Surgical | 937 | SC |
Practice location
762 S Cleveland Massillon RdFairlawn, OH 44333-3024
Phone 330-665-4100
Mailing address
762 S Cleveland Massillon RdFairlawn, OH 44333-3024
Phone 330-665-4100
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