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NPI Code Detail

MEDICARE: PATRICK SWEENEY LAC

MEDICARE:   PATRICK  SWEENEY  LAC
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
1171100000XAcupuncturist14404CA

General Provider Information

NPI Number : 1407115413
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK SWEENEY LAC
Provider Business Mailing Address
First Line : 1131 PACIFIC AVE
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94133-4211
Country : US
Telephone Number : 415-928-2214
Fax Number : 415-928-2214
Provider Business Practice Location Address
First Line : 1131 PACIFIC AVE
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94133-4211
Country : US
Telephone Number : 415-928-2214
Fax Number : 415-928-2214
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2012
Last Update Date : 05/10/2012

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Directions to “ PATRICK SWEENEY LAC” Practice Location

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