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NPI Code Detail

MEDICARE: MEIGHAN JEAN PATTON D.O.

MEDICARE: MEIGHAN JEAN PATTON D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician34012446OH

General Provider Information

NPI Number : 1790197135
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEIGHAN JEAN PATTON D.O.
Provider Business Mailing Address
First Line : 6388 ELMCREST DR
Second Line :
City : HUDSON
State : OH
Zip : 44236-3416
Country : US
Telephone Number : 321-402-7668
Fax Number :
Provider Business Practice Location Address
First Line : 8819 COMMONS BLVD
Second Line :
City : TWINSBURG
State : OH
Zip : 44087-4101
Country : US
Telephone Number : 330-480-3605
Fax Number : 330-480-2948
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2014
Last Update Date : 12/04/2020

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Directions to “ MEIGHAN JEAN PATTON D.O.” Practice Location

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