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NPI Code Detail

MEDICARE: JAMES L PATTERSON DO

MEDICARE: JAMES L PATTERSON DO
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
1207Q00000XFamily Medicine Physician2007000367MO
2207P00000XEmergency Medicine Physician2007000367MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871579706
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES L PATTERSON DO
Provider Business Mailing Address
First Line : PO BOX 370
Second Line :
City : BUTLER
State : MO
Zip : 64730-0370
Country : US
Telephone Number : 660-200-7000
Fax Number : 660-200-7004
Provider Business Practice Location Address
First Line : 617 W NURSERY ST
Second Line :
City : BUTLER
State : MO
Zip : 64730-1840
Country : US
Telephone Number : 660-200-7133
Fax Number : 660-200-2396
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2005
Last Update Date : 03/29/2017

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Directions to “ JAMES L PATTERSON DO” Practice Location

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