Provider Demographics
NPI:1316981756
Name:PATTERSON, JOHN S (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:S
Last Name:PATTERSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:935 HIGHLAND BLVD
Mailing Address - Street 2:SUITE 2200
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-6904
Mailing Address - Country:US
Mailing Address - Phone:406-587-5123
Mailing Address - Fax:406-586-8591
Practice Address - Street 1:935 HIGHLAND BLVD
Practice Address - Street 2:SUITE 2200
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-6904
Practice Address - Country:US
Practice Address - Phone:406-587-5123
Practice Address - Fax:406-586-8591
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2011-12-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MT3917207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT20306Medicaid
MT0980OtherBCBS
MT98Medicare ID - Type Unspecified
MT20306Medicaid