Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JUSTIN TATE, RRT
Active Sole ProprietorMR. JUSTIN TATE, RRT is a 2279G1100X healthcare provider located in SAINT LOUIS, Missouri. NPI 1063635647 is currently active in the NPPES registry. Verify at CMS.
2279G1100X · SAINT LOUIS, MO
Registration Details
- NPI Number
- 1063635647
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 11, 2007 (19.331725130133 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2003017948 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11701 BORMAN DRSUITE 280SAINT LOUIS, MO, 631464100Browse MO providers · Browse ZIP 63146
- Phone
- 3149839555
- Fax
- 3149839444
- Primary Specialty
-
2279G1100X
2279G1100X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.