Provider Demographics
NPI:1578545109
Name:PATTERSON, ROBERT GREG (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:GREG
Last Name:PATTERSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2645 HOUGHTON HILL DR
Mailing Address - Street 2:
Mailing Address - City:NORTH POLE
Mailing Address - State:AK
Mailing Address - Zip Code:99705-6572
Mailing Address - Country:US
Mailing Address - Phone:907-488-9085
Mailing Address - Fax:907-377-0140
Practice Address - Street 1:2630 CENTRAL AVE
Practice Address - Street 2:SUITE 1M07
Practice Address - City:EIELSON AFB
Practice Address - State:AK
Practice Address - Zip Code:99702-2325
Practice Address - Country:US
Practice Address - Phone:907-377-1847
Practice Address - Fax:907-377-0140
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2016-06-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01048153A207Q00000X
UT9685171-1205207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine