Basic Information
| Provider Information | |||||||||
| NPI: | 1427046630 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | KARI PATTERSON, M.D. PLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 525 N 18TH ST | ||||||||
| Address2: | STE 602 | ||||||||
| City: | PHOENIX | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 850064102 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6022710950 | ||||||||
| FaxNumber: | 6022581386 | ||||||||
| Practice Location | |||||||||
| Address1: | 525 N 18TH ST | ||||||||
| Address2: | STE 602 | ||||||||
| City: | PHOENIX | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 850064102 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6022710950 | ||||||||
| FaxNumber: | 6022581386 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/11/2005 | ||||||||
| LastUpdateDate: | 03/07/2013 | ||||||||
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| AuthorizedOfficialLastName: | PATTERSON | ||||||||
| AuthorizedOfficialFirstName: | KARI | ||||||||
| AuthorizedOfficialMiddleName: | L | ||||||||
| AuthorizedOfficialTitleorPosition: | PHYSICIAN/OWNER | ||||||||
| AuthorizedOfficialTelephone: | 6022710950 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084N0400X | 24383 | AZ | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology |
No ID Information.