Individual
DR. DAVID TATE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1111 6TH AVE, DES MOINES, IA 50314-2613
(515) 643-2261
(515) 643-5802
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-2261
(515) 643-5802
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO-06107
IA
208D00000X
General Practice Physician
DO-06107
IA
Other
Enumeration date
06/06/2019
Last updated
07/13/2022
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