Provider Demographics
NPI:1326204207
Name:TATE, ALISON (MD)
Entity Type:Individual
Prefix:DR
First Name:ALISON
Middle Name:
Last Name:TATE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:9397 CROWN CREST BLVD
Mailing Address - Street 2:SUITE 431
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-8575
Mailing Address - Country:US
Mailing Address - Phone:303-925-4638
Mailing Address - Fax:720-851-8970
Practice Address - Street 1:15901 E BRIARWOOD CIR
Practice Address - Street 2:SUITE 200
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-1599
Practice Address - Country:US
Practice Address - Phone:303-925-4638
Practice Address - Fax:720-851-8970
Is Sole Proprietor?:No
Enumeration Date:2008-07-31
Last Update Date:2017-08-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CODR.0056141207V00000X, 207VF0040X
CAA107896207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAM050376Medicare PIN
CADI428ZMedicare PIN