Mr. Carl Frederick Tate, PHYSICIANASSISTANT
Mr. Carl Frederick Tate, PHYSICIANASSISTANT is a Physician Assistant in Indianapolis, Indiana. Practices as a sole proprietor. Licensed in Indiana.
- Licensed in
- IN
- In the registry since
- 2008
Practice location Address checks out
3549 Boulevard PlIndianapolis, IN 46208-4403
Phone: (317) 925-1300
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 10000107A (IN) |
|---|
Record details
| NPI number | 1629255302 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PHYSICIANASSISTANT |
| Sole proprietor | Yes |
| NPI enumerated | January 25, 2008 |
| Last updated in NPPES | January 25, 2008 |
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