Individual
DR. BRIAN D. PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7700 MORRO RD, ATASCADERO, CA 93422-4435
(805) 466-6622
(805) 461-0361
Mailing address
PO BOX 2279, ATASCADERO, CA 93422-2279
(805) 466-6622
(805) 461-0361
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G35558
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G355580
BLUE SHIELD OF CA PIN
CA
05
—
00G355580
—
CA
01
—
4301791
AETNA PIN
—
01
—
4935280014
CIGNA PIN
—
01
—
G35558
MEDICAL LICENSE #
CA
Enumeration date
06/13/2005
Last updated
07/09/2007
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