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Jordan Patak
NPI 1427607209 · on the registry since 2019
Practice
- Address
- 3817 Colonel Glenn Hwy
Beavercreek, OH 45324 - Phone
- (937) 427-9200
- Clinicians at this address
- 58
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-04-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio