Jeffrey L Tate MD PA

NPI #1275877425 in Rogers, Arkansas

Provider Information

NPI Number
1275877425
Entity Type
Organization
Organization Name
Jeffrey L Tate MD PA
Primary Specialty
Clinic/Center - Adult Mental Health
Enumeration Date
Nov 11, 2012
Last Updated
Nov 26, 2012

Practice Location

Address
5311 VILLAGE PKWY
City
Rogers
ZIP Code
72758-8102
Phone
(479) 271-6511

Authorized Official

Name
JEFFREY LEWIS TATE, M.D.
Title
PRESIDENT
Phone
(479) 271-6511

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adult Mental HealthAdult Mental Health

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