MEDICARE: JOHN S PATTERSON MD

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
1	207Q00000X	Family Medicine Physician	3917	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0980	OTHER	MT	BCBS

General Provider Information

NPI Number	:	1316981756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN S PATTERSON MD

Provider Business Mailing Address
First Line	:	935 HIGHLAND BLVD
Second Line	:	SUITE 2200
City	:	BOZEMAN
State	:	MT
Zip	:	59715-6904
Country	:	US
Telephone Number	:	406-587-5123
Fax Number	:	406-586-8591

Provider Business Practice Location Address
First Line	:	935 HIGHLAND BLVD
Second Line	:	SUITE 2200
City	:	BOZEMAN
State	:	MT
Zip	:	59715-6904
Country	:	US
Telephone Number	:	406-587-5123
Fax Number	:	406-586-8591

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	12/20/2011

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Directions to “ JOHN S PATTERSON MD” Practice Location

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