Individual
MR. DAVID ALLEN PATE I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2780 GAUSE BLVD E, SLIDELL, LA 70461-4250
(985) 641-5198
Mailing address
2780 GAUSE BLVD E, SLIDELL, LA 70461-4250
(225) 252-1674
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
24733
MS
207N00000X
Dermatology Physician
Primary
304266
LA
207ND0101X
MOHS-Micrographic Surgery Physician
304266
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2199692
—
LA
Enumeration date
04/05/2012
Last updated
05/18/2021
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