Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | OS016020 | PA |
NPI | 1023286929 |
---|---|
Provider Name | Dr. Katherine Sprague Patil |
First Address | Pottstown, PA 19464-3241 |
Second Address | Pottstown, PA 19464-3224 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2008 |
Last Update Date | 17/12/2019 |