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NPI Code Detail

MEDICARE: DR. WALTER STINNETT PATTON JR. MD

MEDICARE: DR. WALTER STINNETT PATTON JR. 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
1207VG0400XGynecology Physician12157AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568436913
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WALTER STINNETT PATTON JR. MD
Provider Business Mailing Address
First Line : 5550 E HAMPTON ST
Second Line :
City : TUCSON
State : AZ
Zip : 85712-2919
Country : US
Telephone Number : 520-721-8605
Fax Number : 520-721-4209
Provider Business Practice Location Address
First Line : 5550 E HAMPTON ST
Second Line :
City : TUCSON
State : AZ
Zip : 85712-2919
Country : US
Telephone Number : 520-721-8605
Fax Number : 520-721-4209
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2006
Last Update Date : 07/08/2007

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