Individual
DR. STEPHEN RUSSELL PATTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 SE HOSPITAL AVE, STUART, FL 34994-2338
(772) 287-5200
Mailing address
PO BOX 3168, INDIANAPOLIS, IN 46206-3168
(855) 251-1854
(855) 270-9738
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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