Individual
DR. MICHAEL SMITH PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2590 CAMINO ENTRADA, SANTA FE, NM 87507-4876
(505) 946-3233
(505) 946-3234
Mailing address
2590 CAMINO ENTRADA, SANTA FE, NM 87507-4876
(505) 946-3233
(505) 946-3234
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
90-270
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10001079
LOVELACE
—
01
—
202010446
PRESBYTERIAN HEALTH PLAN
—
01
—
2714991
UHC
—
05
—
33146
—
NM
01
—
NM029F60
BCBS NM
NM
01
—
PROVP15511
MOLINA
—
Enumeration date
07/10/2006
Last updated
11/08/2011
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