Patton, Robert Clyde

Patton, Robert Clyde is an individual health care provider with primary practice located at 59 E Prospect St , Fayetteville AR 72701-3440. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Patton, Robert Clyde can be contacted via phone (479) 445-8779.

Contact Information

Primary practice address
59 E Prospect St Fayetteville AR 72701-3440
Phone: (479) 445-8779
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C-4745 Arkansas

Profile Details

NPI number 1437109097
LBN Legal business name Patton, Robert Clyde
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Dec 15th, 2014 - about 12 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437109097 NPPES
Arkansas Other 81752N MEDICARE PROVIDER NUMBER
Arkansas MEDICAID 136749224 MEDICARE PROVIDER NUMBER
Arkansas MEDICAID 136749201 MEDICARE PROVIDER NUMBER
Arkansas Other 8F0106TX MEDICARE PROVIDER NUMBER

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