Individual
DAVID JOHN TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 WOODLAND RD, SAINT HELENA, CA 94574-9554
(707) 967-5721
(707) 967-5722
Mailing address
965 STONECASTLE LN, SANTA ROSA, CA 95405-5512
(707) 498-9095
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
G75355
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G753550
—
CA
Enumeration date
12/01/2005
Last updated
05/01/2017
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