Individual
DR. THOMAS STEVENSON PATTISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
260 RUSSELL BLVD., SUITE D-4, DAVIS, CA 95616
(916) 456-2220
(916) 456-2223
Mailing address
PO BOX 1079, DAVIS, CA 95617
(916) 456-2220
(916) 456-2223
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G72662
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2610834
MEDICAL PIN #
CA
01
—
68-0435381
TAX ID#
CA
Enumeration date
10/26/2006
Last updated
01/14/2025
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