NPI 1184611519
Susan J Tate, MD
Practice location
- Address
- 4076 Neely Road, Fort Wainwright, AK 99703
- Phone
- (907) 361-5479
- Mailing address
- 4076 Neely Road, Ft Wainwright, AK 99703
Registered specialties
Emergency Medical Services (Emergency Medicine) Physician
Primary
Registry record
- NPI
- 1184611519
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 30 Sep 2005
- Record last updated
- 28 May 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.