Provider Demographics
NPI:1306593777
Name:PATTERSON FAMILY MEDICINE & OBSTETRICS PLLC
Entity type:Organization
Organization Name:PATTERSON FAMILY MEDICINE & OBSTETRICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:405-578-5400
Mailing Address - Street 1:114 N JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:ELK CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73644-4746
Mailing Address - Country:US
Mailing Address - Phone:405-578-5400
Mailing Address - Fax:
Practice Address - Street 1:114 N JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:ELK CITY
Practice Address - State:OK
Practice Address - Zip Code:73644-4746
Practice Address - Country:US
Practice Address - Phone:405-578-5400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-07
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty