Individual
DAVID KEITH PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
123 MESA CIR, SALIDA, CO 81201-1705
(719) 539-5104
Mailing address
123 MESA CIR, SALIDA, CO 81201-1705
(719) 539-5104
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
27340
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01273408
—
CO
01
—
203291109-80033-A006
TRICARE
CO
Enumeration date
07/03/2006
Last updated
04/18/2008
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