MEDICARE: YVONNE LOUISE 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	207RI0200X	Infectious Disease Physician	35753	AZ

General Provider Information

NPI Number	:	1871513820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YVONNE LOUISE PATTERSON MD

Provider Business Mailing Address
First Line	:	3255 E ELWOOD ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85034-7256
Country	:	US
Telephone Number	:	602-470-5043
Fax Number	:	602-470-5064

Provider Business Practice Location Address
First Line	:	1144 E MCDOWELL RD
Second Line	:	#300
City	:	PHOENIX
State	:	AZ
Zip	:	85006-2664
Country	:	US
Telephone Number	:	602-344-6559
Fax Number	:

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

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	07/08/2007

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