Cristina Gutierrez Gates PA-C

NPI 1548531684 - Physician Assistant - 363A00000X

NPI Details
NPI 1548531684
Gender Female
Enumeration Date 01/21/2012
Last Updated 10/20/2015
Entity Type Individual
Active Over 4 years ago
Practice Location
4500 MEMORIAL DR
BELLEVILLE IL, 62226-5360, US
Phone (618) 233-7750
Fax
Business Location
PO BOX 6182
SALINAS CA, 93912-6182, US
Phone (831) 595-1683
Fax
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number PA22372
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According to our database, Cristina Gutierrez Gates PA-C NPI is 1548531684, taxonomy code is 363A00000X and license number is PA22372, license state is located at California. Cristina Gutierrez Gates PA-C physically located at 4500 Memorial Dr, Belleville IL, 62226-5360. NPI Number Cristina Gutierrez Gates PA-C has the Individual type.

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1548531684 NPI number is provided on an as is basis without warranty of any kind. 1548531684 is maintained by the National Plan & Provider Enumeration System. The contents of Cristina Gutierrez Gates PA-C are for informational purposes only.