Individual
MR. PAUL LIN PATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1211 CUSHMAN ST STE 100, FAIRBANKS, AK 99701-4680
(907) 328-0989
Mailing address
104 WOODMONT BLVD STE 500, NASHVILLE, TN 37205-2245
(907) 276-2803
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
PA60314316
WA
363AS0400X
Surgical Physician Assistant
Primary
PADA1214
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1214
AK STATE LICENSE
AK
05
—
1626613
—
AK
Enumeration date
10/12/2012
Last updated
08/22/2023
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