Provider Demographics
NPI:1518321157
Name:PATTERSON, BRIAN (MD, MPH)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:
Last Name:PATTERSON
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:380 E PASEO EL MIRADOR
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-4842
Mailing Address - Country:US
Mailing Address - Phone:760-323-6316
Mailing Address - Fax:760-323-6531
Practice Address - Street 1:1150 N INDIAN CANYON DR
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-4872
Practice Address - Country:US
Practice Address - Phone:760-323-6316
Practice Address - Fax:760-323-6531
Is Sole Proprietor?:No
Enumeration Date:2016-04-10
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA156070208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery