Individual
CRAIG P PATTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1034 NORTH 500 WEST, PROVO, UT 84604
(801) 373-7850
Mailing address
PO BOX 10, SPANISH FORK, UT 84660-0010
(866) 898-7136
(616) 975-9827
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
2785521205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107005683103
SELECT HEALTH
UT
01
—
870492357PA1
EDUCATORS MUTUAL
UT
01
—
870636000PAT
EDUCATORS MUTUAL
UT
01
—
930085777
RAILROAD MEDICARE
—
01
—
94278552100001
BCBS
UT
01
—
94278552104001
BCBS
UT
01
—
94278552105001
BCBS
UT
05
—
D3067
—
UT
01
—
P00395947
RR MEDICARE
—
Enumeration date
06/07/2006
Last updated
05/06/2008
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