Wesley Tate Md Pc

NPI 1578769543 - Specialist - 174400000X

NPI Details
NPI 1578769543
Enumeration Date 06/26/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WESLEY A WESLEY
Position PC
Phone (303) 666-2095
Fax (303) 666-1801
Practice Location
2255 S 88TH ST
LOUISVILLE CO, 80027-9716, US
Phone (303) 666-2095
Fax (303) 666-1801
Business Location
1127 ORANGE PLACE
BOULDER CO, 80027, US
Phone (303) 666-2095
Fax (303) 666-1801
Toxanomy
Taxonomy Code 174400000X
License State Colorado
License Number 44990
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According to our database, Wesley Tate Md Pc NPI is 1578769543, taxonomy code is 174400000X and license number is 44990, license state is located at Colorado. Wesley Tate Md Pc physically located at 2255 S 88th St, Louisville CO, 80027-9716. NPI Number 1033115704 has the healthcare provider type.

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1578769543 NPI number is provided on an as is basis without warranty of any kind. 1578769543 is maintained by the National Plan & Provider Enumeration System. The contents of Wesley Tate Md Pc are for informational purposes only.