Individual
ROBERT CLYDE PATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
59 E PROSPECT ST, FAYETTEVILLE, AR 72701-3440
(479) 445-8779
Mailing address
59 E PROSPECT ST, FAYETTEVILLE, AR 72701-3440
(479) 445-8779
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C-4745
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136749201
—
AR
05
—
136749224
—
TX
01
—
81752N
MEDICARE PROVIDER NUMBER
AR
01
—
8F0106TX
MEDICARE - TEXAS
TX
Enumeration date
05/12/2006
Last updated
12/15/2014
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