Individual
ELIZABETH TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4250 OVERLAND TRL, KETTERING, OH 45429-1612
(585) 314-0446
Mailing address
4250 OVERLAND TRL, KETTERING, OH 45429-1612
(585) 314-0446
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
OH
Other
Enumeration date
02/28/2021
Last updated
02/28/2021
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