Provider Demographics
NPI:1790980332
Name:PATE, SAMUEL K (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:K
Last Name:PATE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:988102 NEBRASKA MEDICAL CTR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-8102
Mailing Address - Country:US
Mailing Address - Phone:402-559-5208
Mailing Address - Fax:402-559-7782
Practice Address - Street 1:988102 NEBRASKA MEDICAL CTR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-8102
Practice Address - Country:US
Practice Address - Phone:402-559-5208
Practice Address - Fax:402-559-7782
Is Sole Proprietor?:No
Enumeration Date:2007-06-15
Last Update Date:2012-11-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE27026207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE27026OtherNE STATE LICENSE