Provider Demographics
NPI:1689769168
Name:PATTERSON, ALAN R (MD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:R
Last Name:PATTERSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3340 NORTH CENTER ST #800
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-7406
Mailing Address - Country:US
Mailing Address - Phone:801-990-1911
Mailing Address - Fax:801-990-1912
Practice Address - Street 1:1034 NORTH 500 WEST
Practice Address - Street 2:UTAH VALLEY REGIONAL MEDICAL CENTER
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604
Practice Address - Country:US
Practice Address - Phone:801-507-5248
Practice Address - Fax:801-733-5618
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2012-10-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
UT175007-1205207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTQM0000075886OtherALTIUS
UT53262OtherHEALTHY U
UT870545614PA1OtherEDUCATORS MUTUAL
WY118890900Medicaid
AZ768054Medicaid
UTPRA03548OtherMOLINA
NV002083107Medicaid
UT2090168OtherUNITED HEALTHCARE
ID806024200Medicaid
UT8597445OtherWORKERS COMP
UT107004975101OtherIHC
UT1502954OtherUMWA
UT18383OtherDESERET MUTUAL
UT37812OtherPEHP
UT107004975101OtherIHC
UTD20442Medicare UPIN
NV002083107Medicaid