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Contact Information

ALIYAH PATTERSON, PA-C
12700 SOUTHFORK RD STE 100
SAINT LOUIS, MO63128-3201
 Phone: 314-543-5284
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ALIYAH PATTERSON · (Female)

NPI Number 1134831605
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 12/15/2022
Last updated 08/19/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MO License # 2023040454
  • NJ License # 25MP00747900
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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