Individual
DR. STEPHEN RUSSELL PATTEN
Active
Individual
DR. STEPHEN RUSSELL PATTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
35.098619
OH
2085R0202X
Diagnostic Radiology Physician
Primary
ME97429
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0064106
—
OH
05
—
009161600
—
FL
01
—
04R56
BC BS OF FLORIDA
FL
01
—
204881619
KAISER
OH
01
—
204881619259
CARESOURCE
OH
01
—
9213893
AETNA
OH
01
—
HK323Z
MEDICARE
FL
Enumeration date
07/17/2008
Last updated
04/13/2018
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