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NPI Code Detail

MEDICARE: PATRICK TODD

MEDICARE:   PATRICK  TODD
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1245696038
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK TODD
Provider Business Mailing Address
First Line : 3406 GLACIER HWY
Second Line :
City : JUNEAU
State : AK
Zip : 99801-7251
Country : US
Telephone Number : 907-463-3303
Fax Number : 907-463-6858
Provider Business Practice Location Address
First Line : 3406 GLACIER HWY
Second Line :
City : JUNEAU
State : AK
Zip : 99801-7251
Country : US
Telephone Number : 907-463-3303
Fax Number : 907-463-6858
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2016
Last Update Date : 01/08/2016

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Directions to “ PATRICK TODD ” Practice Location

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