Individual
TEMP RAY PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1338 HILAND AVE, SUITE C, BURLEY, ID 83318-1561
(208) 878-4197
(208) 878-3638
Mailing address
1338 HILAND AVE, SUITE C, BURLEY, ID 83318-1561
(208) 878-4197
(208) 878-3638
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
13766
HI
207Y00000X
Otolaryngology Physician
Primary
M7021
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010001930
BLUE SHIELD
ID
05
—
002796900
—
ID
01
—
70219
BLUE CROSS
ID
Enumeration date
09/14/2006
Last updated
06/10/2016
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