Individual
JON PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2222 E HIGHLAND AVE, STE 425, PHOENIX, AZ 85016-4881
(602) 667-6640
(602) 522-9914
Mailing address
PO BOX 29870, PHOENIX, AZ 85038-9870
(602) 772-3800
(602) 772-3801
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4605
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
450007
—
AZ
Enumeration date
02/15/2010
Last updated
07/16/2014
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