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Mallory Shurte Tate, MD
Specialist in San Diego, California
NPI 1447644497

Mallory Shurte Tate is a Specialist based in San Diego, CA. Mallory Shurte Tate practices in San Diego, CA and has the professional credentials of MD. The NPI Number for Mallory Shurte Tate is 1447644497 and holds a License No. (California).

The current practice location address for Mallory Shurte Tate is 3420 Kenyon St, San Diego, CA and can be reached out via phone at 877-496-0450.

Location: 3420 Kenyon St, San Diego, CA, 92110-5001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447644497
Provider Name
Mallory Shurte Tate
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3420 Kenyon St, San Diego, CA, 92110-5001
Phone Number
877-496-0450
Fax Number
Provider Enumeration Date
03/26/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3420 Kenyon St
City
San Diego
State
California
Zip
92110-5001
Phone Number
877-496-0450
Fax Number
person
Provider Business Mailing Address Details
Address
3420 Kenyon St
City
San Diego
State
California
Zip
92110-5001
Phone Number
877-496-0450
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A144255 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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