NPI 1356549901

Jeffery D Tate, PAC

Practitioner Physician Assistant Mountain Home, AR

Practice location

Address: 555 W 6th St, Mountain Home, AR 72653-3409
Phone: (870) 425-8288
Fax: (870) 425-8299
Mailing address: 759 Highway 62 E, Mountain Home, AR 72653-3260

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1356549901
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jul 2007
Record last updated: 27 Oct 2023

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.