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Contact Information

CHARLES W TATE III, MD
1380 E MEDICAL CENTER DR
STE 1500
SAINT GEORGE, UT84790-2123
 Phone: 435-251-2500
 Fax: 435-656-4907
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for CHARLES W TATE III · (Male)

NPI Number 1376583526
Status Active
Credentials MD
Entity Individual
Enumeration date 06/07/2006
Last updated 06/27/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 42885
  • UT License # 7724231-1205
  • CO Medicaid 85581224
Hospital affiliation(s)
  • DIXIE REGIONAL MEDICAL CENTER - (Acute Care)
    1380 EAST MEDICAL CENTER DRIVE
    ST GEORGE, UT 84790
  • DIXIE REGIONAL MEDICAL CENTER - (Acute Care)
    1380 EAST MEDICAL CENTER DRIVE
    ST GEORGE, UT 84790
  • ST MARYS HOSPITAL AND MEDICAL CENTER - (Acute Care)
    2635 N 7TH STREET
    GRAND JUNCTION, CO 81502
  • ST MARYS HOSPITAL AND MEDICAL CENTER - (Acute Care)
    2635 N 7TH STREET
    GRAND JUNCTION, CO 81502
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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