NPIRadar

Susan S.B. Tate, M.D. Valid NPI

Individual provider · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Louisville, KY

NPI
1811913585
Type
Individual (Type 1)
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (Obstetrics & Gynecology)
Specialty group
Allopathic & Osteopathic Physicians
Taxonomy code
207VF0040X
License number
39021 (KY)
Sex
Female
Sole proprietor
Yes
Enumerated
2006-07-14
Last updated
2014-09-29
Practice location
2934 Breckenridge Ln Ste 2
Louisville, KY 40220-3903
(502) 454-7871

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