Individual
DR. WENDY L PATTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
747 52ND ST, OAKLAND, CA 94609-1809
(510) 428-3410
(510) 601-3968
Mailing address
PO BOX 6102, NOVATO, CA 94948-6102
(415) 884-3404
(415) 883-1836
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
G78460
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G784600
BLUE SHIELD
CA
05
—
00G784600
—
CA
Enumeration date
06/06/2006
Last updated
07/08/2007
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