Patterson Family Practice
Organization Active NPI Family Medicine Physician · Imperial, MO
NPI 1861579013 · NPPES record last updated Feb 6, 2008
Key facts
- NPI
- 1861579013
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 106797 (MO)
- Legal business name
- PATTERSON FAMILY PRACTICE
- Practice address
- 1502 Prehistoric Hill Dr
Imperial, MO 63052-2288 - Phone
- (636) 464-4000
- Fax
- (636) 464-4911
- NPI assigned
- Nov 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Micheal A Patterson, D.O.
- Title
- President/Physician
- Phone
- (636) 464-4000
Practitioners 3
-
Michael A Patterson, D.O.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 106797 | MO | Yes |
Addresses
Primary practice location
1502 Prehistoric Hill Dr
Imperial, MO 63052-2288
Mailing address
PO Box 998
Imperial, MO 63052-0998
Phone (636) 464-4000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DG3276 | Other | MO | RAILROAD MEDICARE |
Other providers in Imperial, MO
- Alexis Olson
- Madison Lynn Owens
- Lauren Michelle Palazzolo
- Kelly Marie Pantazo
- Megan Parsley
- Michael A Patterson
- Tiffany Pender
- Abbriel Peppler
- Mary Peterein
- Pharmax MW Inc.
All providers in Imperial, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.