CARL FREDERICK TATE

INDIANAPOLIS, IN
NPI1629255302
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10000107A)
Enumeration Date2008-01-25
Last Update Date2008-01-25
Business Address
Mr. CARL FREDERICK TATE Physician Assistant
3549 BOULEVARD PL
INDIANAPOLIS, IN 46208-4403
Phone number: 317-925-1300
Mailing Address
Mr. CARL FREDERICK TATE Physician Assistant
3549 BOULEVARD PL
INDIANAPOLIS, IN 46208-4403
Phone number: 317-920-1300
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