Organization
EVERSIDE HEALTH FAIRFIELD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL JOHNSON PATTON (DIRECTOR OF RISK MANAGEMENT)
(704) 936-5546
Entity
Organization
Contact information
Practice address
1620 PENNSYLVANIA AVE STE B, FAIRFIELD, CA 94533-3509
(704) 661-1380
Mailing address
1400 WEWATTA ST STE 350, DENVER, CO 80202-5553
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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