Individual
MR. THOMAS S PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M7458
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010004870
BLUE SHIELD
ID
01
—
000010034815
BLUE SHIELD
ID
05
—
1467442467
—
ID
01
—
370014214
RAILROAD MEDICARE
ID
01
—
45187
BLUE CROSS
ID
05
—
805185100
—
ID
01
—
806353600
HEALTHY CONNECTIONS
ID
01
—
DM743
BLUE CROSS
ID
Enumeration date
10/21/2005
Last updated
08/15/2016
Update your record
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