Healthcare Provider Details

I. General information

NPI: 1699881490
Provider Name (Legal Business Name): MR. DAVID ALLEN PATTEN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14590 N AGUIRRE RD
MARANA AZ
85653-8998
US

IV. Provider business mailing address

BUENA VISTA RECOVERY CENTER 5151 E PIMA ST
TUSCON AZ
85712
US

V. Phone/Fax

Practice location:
  • Phone: 520-762-0757
  • Fax:
Mailing address:
  • Phone: 806-800-6064
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number3939
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: