Search › Idaho › 207Q00000X
Cody Patterson, DO
NPI 1053986059 · on the registry since 2021 · sole proprietor
Practice
- Address
- 151 N 4th Ave
Pocatello, ID 83201 - Phone
- (208) 269-7147
- Fax
- (208) 416-6522
- Organisation at this address
- J Gorriceta Pllc
Beacon Therapy Llc
Specialized Family MedicineInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho