Provider Demographics
NPI:1255604815
Name:PATTERSON, VICTORIA MARIE (DC)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:MARIE
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:1272 JUNGERMANN RD
Mailing Address - Street 2:STE A
Mailing Address - City:SAINT PETERS
Mailing Address - State:MO
Mailing Address - Zip Code:63376-6968
Mailing Address - Country:US
Mailing Address - Phone:636-751-3150
Mailing Address - Fax:636-246-0265
Practice Address - Street 1:2241 BLUESTONE DR
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63303-6705
Practice Address - Country:US
Practice Address - Phone:636-751-3150
Practice Address - Fax:636-940-9990
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-13
Last Update Date:2016-12-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2012001576111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor