Individual
DANIEL J PATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1901 W LUGONIA AVE STE 120, REDLANDS, CA 92374-9704
(909) 557-1600
(909) 557-1740
Mailing address
1801 ORANGE TREE LN STE 200, REDLANDS, CA 92374-4587
(909) 557-1600
(909) 557-1732
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
143495
CA
207X00000X
Orthopaedic Surgery Physician
4301106545
MI
207X00000X
Orthopaedic Surgery Physician
ML60163928
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0D14869
MEDICARE GROUP PTAN
MI
01
—
FX956A
GRPUP PTAN
CA
01
—
ZZZ29537Z
GROUP PTAN
CA
Enumeration date
03/31/2010
Last updated
02/18/2020
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