Individual
DR. JEFFREY LEWIS TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5311 VILLAGE PKWY, ROGERS, AR 72758-8102
(479) 271-6511
(479) 271-6518
Mailing address
5311 VILLAGE PKWY, ROGERS, AR 72758-8102
(479) 271-6511
(479) 271-6518
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
N-8345
AR
Other
Enumeration date
02/23/2007
Last updated
04/05/2012
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