Individual
DENNIS R PATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1225 GRAHAM RD, SUITE C-1330, FLORISSANT, MO 63031-8012
(314) 838-5702
(314) 839-5596
Mailing address
PO BOX 23340, SAINT LOUIS, MO 63156-3340
(314) 838-5702
(314) 839-5596
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
104031
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000010028
ESSENCE
MO
01
—
0400813
UHC MEDICARE COMPLETE
—
01
—
0400909
UHC
MO
01
—
106639
BCBS
MO
01
—
127473
GHP
MO
01
—
265223
HEALTHLINK
MO
01
—
5088146
AETNA
MO
01
—
G33244
MERCY
MO
Enumeration date
11/09/2005
Last updated
10/24/2012
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