Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 50444 | AZ |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 50444 | AZ |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | MD-41939 | IA |
NPI | 1831326909 |
---|---|
Provider Name | Dr. Jason Alan Patterson |
First Address | Salt Lake City, UT 84127-1429 |
Second Address | Gilbert, AZ 85234-2168 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2009 |
Last Update Date | 18/01/2017 |