Basic Information
| Provider Information | |||||||||
| NPI: | 1518321157 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PATTERSON | ||||||||
| FirstName: | BRIAN | ||||||||
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| Credential: | MD, MPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 380 E PASEO EL MIRADOR | ||||||||
| Address2: | |||||||||
| City: | PALM SPRINGS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 922624842 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7603236316 | ||||||||
| FaxNumber: | 7603236531 | ||||||||
| Practice Location | |||||||||
| Address1: | 1150 N INDIAN CANYON DR | ||||||||
| Address2: | |||||||||
| City: | PALM SPRINGS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 922624872 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7603236316 | ||||||||
| FaxNumber: | 7603236531 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/10/2016 | ||||||||
| LastUpdateDate: | 12/17/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/10/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | A156070 | CA | Y | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.