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NPI Code Detail

MEDICARE: PAIGE ALLEN PATTERSON M.D.

MEDICARE: PAIGE ALLEN PATTERSON M.D.
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
1207R00000XInternal Medicine Physician8790934-1205UT
2207RH0002XHospice and Palliative Medicine (Internal Medicine) Physician8790934-1205UT
3207RG0300XGeriatric Medicine (Internal Medicine) Physician8790934-1205UT

General Provider Information

NPI Number : 1023374626
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAIGE ALLEN PATTERSON M.D.
Provider Business Mailing Address
First Line : 30 N MARIO CAPECCHI DR RM 3N116
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84106-2490
Country : US
Telephone Number : 801-581-2000
Fax Number :
Provider Business Practice Location Address
First Line : 30 N MARIO CAPECCHI DR RM 3N116
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84106-2490
Country : US
Telephone Number : 801-581-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2012
Last Update Date : 07/01/2025

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