Individual
DR. PATRICK W. LETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
404 N MAIN ST, ENTERPRISE, AL 36330-2563
(334) 308-9797
(334) 308-2909
Mailing address
PO BOX 729, DOTHAN, AL 36302-0729
(334) 793-2663
(334) 836-2248
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25206
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003129579A
—
GA
05
—
009957045
—
AL
01
—
511-30528
BCBS OF AL - HEALTHWEST
AL
01
—
515-21927
BCBS OF AL 404 N MAIN ST
AL
Enumeration date
08/10/2005
Last updated
11/20/2014
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