Gary Clark Patton in Lexington - Addiction Medicine

Gary Clark Patton - NPI 1073548525

Gary Clark Patton is a Addiction Medicine in Lexington, Kentucky. Gary Clark Patton practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Gary Clark Patton is 1073548525. The last update date is 2007-07-08.

Gary Clark Patton's current location address is 579 W Short St, Lexington, Kentucky. You can contact this provider via phone number 8593338929 and fax number 8592242024. The mailing address for Gary Clark Patton is 579 W Short St, Lexington, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary Clark Patton
Address 579 W Short St, Lexington, Kentucky
Phone Number 8593338929
Fax Number 8592242024
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1073548525
Provider Enumeration Date 2006-07-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 579 W Short St
City Lexington
State Kentucky (KY)
Post Code 405071262
Phone Number 8593338929
Fax Number 8592242024

Provider's Primary Taxonomy Detail

Speciality Addiction Medicine
Taxonomy 2084A0401X
Licence No 24639
Definition:
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
64246390 KY --

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FAQs about Gary Clark Patton

What is the Gary Clark Patton's unique identification number?

The Gary Clark Patton has been assigned the NPI (National Provider Identifier) Number 1073548525 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Gary Clark Patton is physically located?

The Gary Clark Patton is physically situated at the following address: 579 W Short St, Lexington, KY, 405071262.

What is Gary Clark Patton's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Gary Clark Patton's specialized field of practice is Addiction Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 2084A0401X.

When did the Gary Clark Patton receive its 1073548525?

The Gary Clark Patton was issued its 1073548525 on 2006-07-12, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding Gary Clark Patton, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Gary Clark Patton, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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