Individual
DR. PATRICK JOHN PARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
M4785
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010006057
REGENCE BLUE SHIELD OF ID
ID
05
—
003888500
—
ID
01
—
15180003516
NORTH IDAHO CATARACT & LA
—
01
—
47852
BLUE CROSS OF IDAHO
ID
Enumeration date
01/29/2007
Last updated
02/21/2008
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