Individual
ALICIA PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3131 LA CANADA ST STE 217, LAS VEGAS, NV 89169-2579
(702) 367-1525
(702) 369-7153
Mailing address
3131 LA CANADA ST STE 217, LAS VEGAS, NV 89169-2579
(702) 367-1525
(702) 369-7153
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01077847A
IN
208600000X
Surgery Physician
Primary
22241
NV
208600000X
Surgery Physician
33819
SC
208600000X
Surgery Physician
MD-46283
IA
2086S0102X
Surgical Critical Care Physician
MD-46283
IA
2086S0127X
Trauma Surgery Physician
01077847A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300017420
—
IN
Enumeration date
06/16/2011
Last updated
07/05/2022
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