SearchIdahoFamily Medicine Physician

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 Medicine
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
Family Medicine Physician
207Q00000X
Also registered as
Family Medicine Physician
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