DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SHANE MICHAEL PATTERSON, M.D.

Active Sole Proprietor

DR. SHANE MICHAEL PATTERSON, M.D. is a Family Medicine healthcare provider located in SAN ANDREAS, California. NPI 1639367410 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · SAN ANDREAS, CA

Registration Details

NPI Number
1639367410
Provider Type
Individual
Gender
Male
NPI Issued
Oct 5, 2007 (18.843458102134 yrs)
Last Updated
Jan 18, 2013
Licenses
A101166 (CA)
A101166 (CA)
Sole Proprietor
Yes

Practice Information

Address
702 MOUNTAIN RANCH RD
SAN ANDREAS, CA, 95249
Browse CA providers · Browse ZIP 95249
Phone
2097540870
Fax
2097540878
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Geriatric Medicine

Other Family Medicine Providers in SAN ANDREAS, CA

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.