DAVID BRENT TATE CP

Dr DAVID BRENT TATE CP is a male medical professional, specializing in Psychologist, Clinical. He graduated in 1994.

Contact

321 N MALL DR
SUITE I201
ST GEORGE
UT
847907323

Tel:

DAVID BRENT TATE CP Information

Npi 1093992711
Pac Id 9830184514
Professional Enrollment Id I20040421000246
Last Name TATE
First Name DAVID
Middle Name BRENT
Suffix
Gender M
Credential CP
Medical School Name OTHER
Graduation Year 1994
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
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Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 321 N MALL DR
Line 2 Street Address SUITE I201
Marker Of Address Line 2 Suppression
City ST GEORGE
State UT
Zip Code 847907323
Phone Number
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Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
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Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment M

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