Provider Demographics
NPI:1689384448
Name:AMY PATE MD PLLC DBA ROCKY MOUNTAIN WOUND CARE SPECIALISTS
Entity Type:Organization
Organization Name:AMY PATE MD PLLC DBA ROCKY MOUNTAIN WOUND CARE SPECIALISTS
Other - Org Name:ROCKY MOUNTAIN WOUND CARE SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MD, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:PATE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:970-509-5031
Mailing Address - Street 1:3013 TAFT AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-8303
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3013 TAFT AVE STE 2
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-8303
Practice Address - Country:US
Practice Address - Phone:970-509-5031
Practice Address - Fax:970-509-7044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-01
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Multi-Specialty