Individual
MICHAEL ROB PATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2100 DATA PARK, HOOVER, AL 35244-2519
(205) 982-5000
Mailing address
2100 DATA PARK, HOOVER, AL 35244-2519
(205) 982-5000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SB62TA774
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SB62TA774
PROFESSIONAL LICENSE
AL
Enumeration date
10/02/2007
Last updated
10/02/2007
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