Stacie Lyn Patterson in Goodyear - Surgical
Stacie Lyn Patterson - NPI 1053430876
Stacie Lyn Patterson is a Surgical in Goodyear, Arizona. Stacie Lyn Patterson practices all healthcare services and medical treatments related to Surgical. The NPI Number for Stacie Lyn Patterson is 1053430876. The last update date is 2014-07-02.
Stacie Lyn Patterson's current location address is 13677 W. Mc Dowell Road, Goodyear, Arizona. You can contact this provider via phone number 6238821926 and fax number 6238821709. The mailing address for Stacie Lyn Patterson is 13677 W. Mc Dowell Road, Goodyear, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacie Lyn Patterson |
|---|---|
| Address | 13677 W. Mc Dowell Road, Goodyear, Arizona |
| Phone Number | 6238821926 |
| Fax Number | 6238821709 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1053430876 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2014-07-02 |
Provider Mailing Address Detail
| Address | 13677 W. Mc Dowell Road |
|---|---|
| City | Goodyear |
| State | Arizona (AZ) |
| Post Code | 85395 |
| Phone Number | 6238821926 |
| Fax Number | 6238821709 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | AZ 5154 |
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Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0F37698 | MI | BCBSM |
Post Comment/ Review Below
What is the unique provider identifier assigned to Stacie Lyn Patterson?
The Stacie Lyn Patterson has been issued the NPI (National Provider Identifier) 1053430876 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Stacie Lyn Patterson is physically located?
The Stacie Lyn Patterson is situated at the following address: 13677 W. Mc Dowell Road, Goodyear, AZ 85395.
What is Stacie Lyn Patterson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Stacie Lyn Patterson is Surgical, and the taxonomy code that classifies this field of practice is 363As0400X.
On what date was the 1053430876 assigned to Stacie Lyn Patterson?
The Stacie Lyn Patterson was issued its 1053430876 on 2007-03-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Stacie Lyn Patterson's details last updated?
The information pertaining to the Stacie Lyn Patterson, including its address, specialty, and other details, was most recently updated on 2014-07-02.