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Individual

DR. CHAD R TATE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
330 ARKANSAS ST, SUITE 202, LAWRENCE, KS 66044-1335
(785) 505-2200
(785) 505-5237
Mailing address
330 ARKANSAS ST, SUITE 202, LAWRENCE, KS 66044-1335
(785) 505-2200
(785) 505-5237

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0435515
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200851190A
KS
Enumeration date
07/18/2006
Last updated
12/09/2020
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