Individual
MR. MICHAEL J PATTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
945 GOETHALS DR STE 300, RICHLAND, WA 99352-3552
(509) 943-3196
(509) 946-0455
Mailing address
550 GAGE BLVD STE 101, RICHLAND, WA 99352-9532
(509) 946-4611
(509) 627-2983
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00041086
WA
208000000X
Pediatrics Physician
MD00041086
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
159331
LABOR & INDUSTRY
WA
05
—
8314833
—
WA
Enumeration date
08/25/2005
Last updated
05/22/2024
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