Individual
TATE ACKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
13925 W MEEKER BLVD STE 5, SUN CITY WEST, AZ 85375-4431
(623) 474-3099
(623) 474-3119
Mailing address
13925 W MEEKER BLVD STE 5, SUN CITY WEST, AZ 85375-4431
(623) 474-3099
(623) 474-3119
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
CPO03616
AZ
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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