Doctor Name: | DR. GWYNN RAWDING PATTERSON |
NPI Number: | 1134111941 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 14904 |
Business Practice Address: | 4990 E Mediterranean Dr Suite C Sierra Vista, AZ - 856352494 |
Business Phone Number: | 5204172229 |
Business Fax Number: | 5204172266 |
Mailing Address: | 4990 E Mediterranean Dr, Suite C SIERRA VISTA |
State: | AZ |
Postal Code: | 856352494 |
Phone Number: | 5204172229 |
Fax Number: | 5204172266 |
NPI Enumeration Date: | 08/17/2005 |
NPI Last Update Date: | 09/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/23/2006 |
NPI Reactivation Date: | 04/10/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 170100000X |
License Number: | 14904 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Medical Genetics, Ph.D. Medical Genetics |
Taxonomy Specialization: | |
Taxonomy Definition: | A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |