Organization
WESLEY TATE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WESLEY A TATE MD (PC)
(303) 666-2095
Entity
Organization
Contact information
Practice address
2255 S 88TH ST, LOUISVILLE, CO 80027-9716
(303) 666-2095
(303) 666-1801
Mailing address
1127 ORANGE PLACE, BOULDER, CO 80027
(303) 666-2095
(303) 666-1801
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
44990
CO
Other
Enumeration date
06/26/2007
Last updated
08/22/2020
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