Individual
DR. WESLEY A. TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4856 INNOVATION DR STE B, FORT COLLINS, CO 80525-5540
(970) 397-7815
Mailing address
4856 INNOVATION DR STE B, FORT COLLINS, CO 80525-5540
(970) 397-7815
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
44990
CO
2084P0800X
Psychiatry Physician
44990
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49570871
—
CO
Enumeration date
02/16/2007
Last updated
04/03/2023
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