Individual
DR. PATRICK ST.PIERRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
39000 BOB HOPE DR, HARRY AND DIANE RINKER BLG, RANCHO MIRAGE, CA 92270-3221
(760) 568-2684
(760) 341-5832
Mailing address
PO BOX 1730, RANCHO MIRAGE, CA 92270-1058
(760) 568-2684
(760) 341-5832
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G88344
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
G88344
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010149398
—
VA
01
—
143485
ANTHEM
VA
01
—
2129432
ALLIANCE/MAMSI
VA
01
—
34310004
CAREFIRST BCBS
DC
01
—
G88344
CA LICENSE
CA
Enumeration date
04/19/2006
Last updated
02/20/2024
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