| Patterson Family Practice | |
|
1502 Prehistoric Hill Dr Imperial MO 63052-2288 | |
| (636) 464-4000 | |
| (636) 464-4911 |
| Full Name | Patterson Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 1502 Prehistoric Hill Dr, Imperial, Missouri |
| Authorized Official Name and Position | Micheal A Patterson (PRESIDENT/PHYSICIAN) |
| Authorized Official Contact | 6364644000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patterson Family Practice Po Box 998 Imperial MO 63052-0998 Ph: (636) 464-4000 | Patterson Family Practice 1502 Prehistoric Hill Dr Imperial MO 63052-2288 Ph: (636) 464-4000 |
| NPI Number | 1861579013 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 02/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861579013 | NPI | - | NPPES |
| DG3276 | Other | MO | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 106797 (Missouri) | Primary |
Celso F Rodrigues Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2674 Fox Run Dr, Imperial, MO 63052 Phone: 636-461-2711 Fax: 636-461-0786 | |
Family Medicine - Slmg South, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1501 Professional Dr, Imperial, MO 63052 Phone: 636-464-4000 Fax: 636-529-0699 |