Phillip Justin Patterson
Adult Reconstructive Orthopaedic Surgeon
1802 Braeburn Dr
Salem
, Virginia 24153-7357
Phillip Justin Patterson
Adult Reconstructive Orthopaedic Surgeon
1802 Braeburn Dr
Salem
, Virginia 24153-7357
(540) 772-3530
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About
Features
Specialties
- Adult Reconstructive Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Phillip Justin Patterson
- 1802 Braeburn Dr
- Salem, VA
- Zip : 24153-7357
- Phone : (540) 772-3530
Second Address
- Phillip Justin Patterson
- 1802 Braeburn Dr
- Salem, VA
- Zip : 24153-7357
- Phone : (540) 772-3530
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 0101245497 | VA |
National Provider Identifier
| NPI | 1376604215 |
|---|---|
| Provider Name | Phillip Justin Patterson |
| First Address | Salem, VA 24153-7357 |
| Second Address | Salem, VA 24153-7357 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/12/2006 |
| Last Update Date | 08/02/2022 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1376604215 | (05) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.