Individual provider · NPI-1

Gwendolyn Marie Patterson, rt(r)

Radiologic Technologist · Tampa, FL

NPI number1497917348
StatusActive
Last updated in NPPESJul 1, 2008

Details

NPI
1497917348
Entity type
Individual (NPI-1)
Name
Mrs. Gwendolyn Marie Patterson
Credential
rt(r)
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 1, 2008
Last updated
Jul 1, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247100000X Radiologic Technologist322240FLYes

Practice location

13000 N Bruce B Downs Ave
Tampa, FL 33612

Phone 813-972-2000

Mailing address

1049 Windsor Way
Lutz, FL 33559-6738

Phone 813-948-0850

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