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Individual

DAVID J PATTERSON

Active
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Individual

DAVID J PATTERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD00022397
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0039580
LABOR AND INDUSTRIES #
WA
01
100011564
RAILROAD MEDICARE
WA
05
806449300
ID
05
8102394
WA
05
MD397WA
AK
01
PA4664
BLUE SHIELD #
WA
01
US0818847
AETNA PCP PIN
WA
01
US0899626
AETNA SPECIALIST PIN
WA
Enumeration date
01/31/2007
Last updated
07/16/2021
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