Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | D72434 | MD |
NPI | 1417081837 |
---|---|
Provider Name | Dr. Chad Matthew Patton |
First Address | Annapolis, MD 21401-3742 |
Second Address | Annapolis, MD 21401-3742 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2007 |
Last Update Date | 01/08/2011 |