Individual
DR. CARL F PATTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2210 BARRON RD, POPLAR BLUFF, MO 63901-1908
(573) 686-4133
(573) 778-1099
Mailing address
2210 BARRON RD, POPLAR BLUFF, MO 63901-1908
(573) 686-4133
(573) 778-1099
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
R8B19
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201645538
—
MO
Enumeration date
05/19/2006
Last updated
05/12/2011
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