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NPI Code Detail

MEDICARE: DR. RYAN PATTON MD

MEDICARE: DR. RYAN PATTON 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
1207X00000XOrthopaedic Surgery Physician010428GA
2390200000XStudent in an Organized Health Care Education/Training Program
3207X00000XOrthopaedic Surgery PhysicianE-16526AR

General Provider Information

NPI Number : 1780181370
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RYAN PATTON MD
Provider Business Mailing Address
First Line : 3501 WE KNIGHT DR
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-6254
Country : US
Telephone Number : 479-709-6700
Fax Number : 479-709-6710
Provider Business Practice Location Address
First Line : 3501 WE KNIGHT DR
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-6254
Country : US
Telephone Number : 479-709-6700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2018
Last Update Date : 08/01/2023

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