Patterson, Gwynn R
Patterson, Gwynn R is an sole proprietor health care provider with primary practice located at 4990 E Mediterranean Dr Suite C, Sierra Vista AZ 85635-2494. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Other Service Providers / Medical Genetics, Ph.D. Medical Genetics. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Patterson, Gwynn R can be contacted via phone (520) 417-2229.Contact Information
Primary practice address
4990 E Mediterranean Dr Suite C
Sierra Vista AZ 85635-2494
Phone: (520) 417-2229
Fax: (520) 417-2266
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 14904 | Arizona |
| Other Service Providers / Medical Genetics, Ph.D. Medical Genetics | 170100000X | 14904 | Arizona |
Profile Details
| NPI number | 1134111941 |
|---|---|
| LBN Legal business name | Patterson, Gwynn R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 17th, 2005 |
| Last updated | Jan 29th, 2026 - about 9 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134111941 | NPPES |
| Arizona | MEDICAID | 270348002 | |
| Arizona | MEDICAID | 2700348002 |
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