Individual
TATE O'TOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1923 N 16TH ST, FORT DODGE, IA 50501-7624
(515) 269-3373
Mailing address
812 UNIVERSITY ST, PELLA, IA 50219-1902
(877) 462-3687
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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