Individual
DR. TONI R. PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
17050 BAXTER RD, DEPT. OF ANESTHESIA, CHESTERFIELD, MO 63005-1422
(636) 200-4242
(636) 200-4243
Mailing address
351 CONSORT DR, BALLWIN, MO 63011-4439
(636) 200-4242
(636) 200-4243
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R1A25
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050055115
RAILROAD MEDICARE
—
05
—
0976845
—
IA
05
—
1909887
—
IA
05
—
241494731
—
MO
01
—
80171
HEALTHCARE USA
MO
01
—
8298
HEALTHCARE USA (GROUP)
MO
01
—
CG4336
RAILROAD MEDICARE
—
Enumeration date
07/19/2006
Last updated
08/22/2013
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