Individual provider · Type 1 NPI

Mallory Shurte Tate, MD

Specialist · San Diego, CA

NPI number 1447644497 Active

Practice location

3420 Kenyon St
San Diego, CA 92110-5001

Call (877) 496-0450 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Specialist Primary 174400000XA144255 (CA)

Specialist: 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.

58 other providers at this address

Other specialist providers in San Diego

See all in San Diego →

About NPI 1447644497

Mallory Shurte Tate, MD's National Provider Identifier is 1447644497, issued on Mar 26, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in San Diego, CA. The record was last updated on Dec 14, 2021.