Trent J. Tate O.D.

NPI 1073593513 - Optometrist - 152W00000X

NPI Details
NPI 1073593513
Gender Male
Enumeration Date 01/19/2006
Last Updated 10/04/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
4175 S ALAMO AVE
OPTOMETRY CLINIC
DAVIS MONTHAN AFB AZ, 85707-6097, US
Phone (520) 228-2737
Fax (520) 228-2604
Business Location
4175 S. ALAMO AVE
DAVIS-MONTHAN AZ, 85707-4406, US
Phone (520) 228-2737
Fax (520) 228-2604
Toxanomy
Taxonomy Code 152W00000X
License State Pennsylvania
License Number OEG001219
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According to our database, Dr. Trent J. Tate O.D. NPI is 1073593513, taxonomy code is 152W00000X and license number is OEG001219, license state is located at Pennsylvania. Trent J. Tate O.D. physically located at 4175 S Alamo Ave, Davis Monthan Afb AZ, 85707-6097. NPI Number Trent J. Tate O.D. has the Individual type.

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1073593513 NPI number is provided on an as is basis without warranty of any kind. 1073593513 is maintained by the National Plan & Provider Enumeration System. The contents of Trent J. Tate O.D. are for informational purposes only.