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Individual

COURTNEY L STOUT PATERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25975
MT
208000000X
Pediatrics Physician
47696
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020981
KAISER COMMERCIAL NUMBER
CO
05
92221386
CO
Enumeration date
01/26/2007
Last updated
03/04/2024
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