Individual
MR. CARROLL DEAN PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 BLUE JAY DRIVE, SUITE 202, LIBERTY, MO 64068
(816) 792-3220
(816) 792-3422
Mailing address
115 BLUE JAY DRIVE, SUITE 202, LIBERTY, MO 64068
(816) 792-3220
(816) 792-3422
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
30205
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11284014
BCBS OF KANSAS CITY
MO
Enumeration date
07/31/2006
Last updated
07/08/2007
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