Matthew Paul Tate PA-C

NPI 1659542389 - Physician Assistant - 363A00000X

NPI Details
NPI 1659542389
Gender Male
Enumeration Date 03/21/2008
Last Updated 10/28/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
421 S DIVISION ST
SPOKANE WA, 99202-1331, US
Phone (509) 474-2100
Fax
Business Location
PO BOX 421
LIBERTY LAKE WA, 99019-0421, US
Phone (509) 474-2100
Fax
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number PENDING
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According to our database, Matthew Paul Tate PA-C NPI is 1659542389, taxonomy code is 363A00000X and license number is PENDING, license state is located at California. Matthew Paul Tate PA-C physically located at 421 S Division St, Spokane WA, 99202-1331. NPI Number Matthew Paul Tate PA-C has the Individual type.

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1659542389 NPI number is provided on an as is basis without warranty of any kind. 1659542389 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew Paul Tate PA-C are for informational purposes only.