-- TEMP RAY PATTERSON -- MD
Individual Provider (NPI-1)
Active
Otolaryngology
Provider Information
- NPI Number
1427153097- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 1338 HILAND AVE SUITE C, BURLEY, ID, 833181561
- Phone
- (208) 878-4197
- Fax
- (208) 878-3638
Specialties & Taxonomies
Otolaryngology
Primary License: ID #M7021
Otolaryngology
License: HI #13766