Individual
JOHN C PATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
54 HOSPITAL DR, STE 205, OSAGE BEACH, MO 65065-3050
(573) 302-2299
(573) 302-2296
Mailing address
PO BOX 1500, OSAGE BEACH, MO 65065-1500
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2006017517
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194737346
—
MO
01
—
2006017517
MEDICAL LICENSE
MO
Enumeration date
08/13/2006
Last updated
06/28/2010
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