Basic Information
Provider Information
NPI: 1710240908
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PATRICK
FirstName: KAREN
MiddleName: STEIFLE
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 678207
Address2:  
City: DALLAS
State: TX
PostalCode: 752678207
CountryCode: US
TelephoneNumber: 8008414236
FaxNumber: 7066531162
Practice Location
Address1: 101 E WOOD ST
Address2:  
City: SPARTANBURG
State: SC
PostalCode: 293033040
CountryCode: US
TelephoneNumber: 8645606522
FaxNumber: 8889728644
Other Information
ProviderEnumerationDate: 06/21/2012
LastUpdateDate: 03/27/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202XLL34806SCN Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
2085R0202X34806SCY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

No ID Information.


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