Deric Patterson in Boise - Internal Medicine

Deric Patterson - NPI 1689627762

Deric Patterson is a Internal Medicine in Boise, Idaho. Deric Patterson practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Deric Patterson is 1689627762. The last update date is 2012-09-13.

Deric Patterson's current location address is 190 E Bannock St, Boise, Idaho. You can contact this provider via phone number 2083814166. The mailing address for Deric Patterson is 190 E Bannock St, Boise, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Deric Patterson
Address 190 E Bannock St, Boise, Idaho
Phone Number 2083814166
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1689627762
Provider Enumeration Date 2006-05-18
Last Updated Date 2012-09-13

Provider Mailing Address Detail

Address 190 E Bannock St
City Boise
State Idaho (ID)
Post Code 837126241
Phone Number 2083814166
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No M9132
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

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FAQs about Deric Patterson

What is the unique 10-digit identification code assigned to Deric Patterson by the Centers for Medicare & Medicaid Services?

The Deric Patterson has been issued the NPI (National Provider Identifier) 1689627762, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Deric Patterson?

The Deric Patterson is physically situated at 190 E Bannock St, in the city of Boise, state of ID, with the postal code 837126241.

What is the Deric Patterson's specialty and taxonomy code?

The Deric Patterson's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.

When did the Deric Patterson receive its 1689627762?

The Deric Patterson was issued its 1689627762 on 2006-05-18, which is the date when the organization was assigned this unique identifier.

As of what date were the details pertaining to Deric Patterson last refreshed?

The information related to the Deric Patterson, including its address, specialty, and other relevant details, was last updated on 2012-09-13.

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