SearchMissouri2279G1100X

Justin Tate, RRT

NPI 1063635647 · on the registry since 2007 · sole proprietor

Practice

Address
11701 Borman Dr
Suite 280
Saint Louis, MO 63146
Phone
(314) 983-9555
Fax
(314) 983-9444
Organisation at this address
Biotab Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
2279G1100X
2279G1100X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri