MEDICARE: MR. ROBERT WAYNE PATTI 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	207X00000X	Orthopaedic Surgery Physician	5172	NV

General Provider Information

NPI Number	:	1750311957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT WAYNE PATTI MD

Provider Business Mailing Address
First Line	:	2080 E FLAMINGO
Second Line	:	#301
City	:	LAS VEGAS
State	:	NV
Zip	:	89119
Country	:	US
Telephone Number	:	702-734-8876
Fax Number	:	702-734-9456

Provider Business Practice Location Address
First Line	:	2080 E FLAMINGO
Second Line	:	#301
City	:	LAS VEGAS
State	:	NV
Zip	:	89119
Country	:	US
Telephone Number	:	702-734-8876
Fax Number	:	702-734-9456

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

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	11/02/2009

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