Provider Demographics
NPI:1174678742
Name:PATEE, MERCEDES ISABEL (MD)
Entity type:Individual
Prefix:DR
First Name:MERCEDES
Middle Name:ISABEL
Last Name:PATEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:15629 PROSPECT DR
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-9504
Mailing Address - Country:US
Mailing Address - Phone:888-633-1441
Mailing Address - Fax:888-633-1441
Practice Address - Street 1:376 HARTNELL AVE STE A
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-1881
Practice Address - Country:US
Practice Address - Phone:888-633-1441
Practice Address - Fax:888-633-1441
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA98141208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice