Individual
JARED DOUGLAS TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24 S WEBER ST STE 200, COLORADO SPRINGS, CO 80903-1928
(866) 226-8576
Mailing address
2211 OAKWOOD ST, GIRARD, OH 44420-1162
(330) 503-3340
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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