Jeffrey Lewis Tate MD

NPI 1649305012 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1649305012
Gender Male
Enumeration Date 02/23/2007
Last Updated 04/05/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
5311 VILLAGE PKWY
ROGERS AR, 72758-8102, US
Phone (479) 271-6511
Fax (479) 271-6518
Business Location
5311 VILLAGE PKWY
ROGERS AR, 72758-8102, US
Phone (479) 271-6511
Fax (479) 271-6518
Toxanomy
Taxonomy Code 2084P0800X
License State Arkansas
License Number N-8345
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According to our database, Dr. Jeffrey Lewis Tate MD NPI is 1649305012, taxonomy code is 2084P0800X and license number is N-8345, license state is located at Arkansas. Jeffrey Lewis Tate MD physically located at 5311 Village Pkwy, Rogers AR, 72758-8102. NPI Number Jeffrey Lewis Tate MD has the Individual type.

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1649305012 NPI number is provided on an as is basis without warranty of any kind. 1649305012 is maintained by the National Plan & Provider Enumeration System. The contents of Jeffrey Lewis Tate MD are for informational purposes only.