DR. Charles Tate JR., MD

NPI #1982456752 in Peoria, Illinois

Provider Information

NPI Number
1982456752
Entity Type
Individual
Name
DR. Charles Tate JR., MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Student in an Organized Health Care Education/Training Program
Credential
MD
Enumeration Date
Apr 3, 2024
Last Updated
Apr 3, 2024

Practice Location

Address
530 NE GLEN OAK AVE
City
Peoria
ZIP Code
61637-0001
Phone
(309) 655-2109

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program

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