Individual
COLTON PATE
Active
Individual
COLTON PATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036174405
IL
207R00000X
Internal Medicine Physician
Primary
125.079372
IL
Other
Enumeration date
05/02/2022
Last updated
06/10/2026
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