Provider Demographics
NPI:1649367194
Name:PATTON, JOHN PATRICK (DPM)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:PATRICK
Last Name:PATTON
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1775 BROWNING WAY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ELKO
Mailing Address - State:NV
Mailing Address - Zip Code:89801-8338
Mailing Address - Country:US
Mailing Address - Phone:775-753-4044
Mailing Address - Fax:775-753-5694
Practice Address - Street 1:1775 BROWNING WAY
Practice Address - Street 2:SUITE 101
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801-8338
Practice Address - Country:US
Practice Address - Phone:775-753-4044
Practice Address - Fax:775-753-5694
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV9506213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00930268OtherRAILROAD MEDICARE PIN
NVU37271Medicare UPIN
P00930268OtherRAILROAD MEDICARE PIN