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Individual
SHELBY BRENAN TATE
Active
Individual
SHELBY BRENAN TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0065713
CO
2080N0001X
Neonatal-Perinatal Medicine Physician
0065713
CO
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
45068
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2015
Last updated
04/18/2025
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