Dwayne Allen Gates PA

NPI 1679757538 - Physician Assistant - 363A00000X

NPI Details
NPI 1679757538
Gender Male
Enumeration Date 12/27/2007
Last Updated 09/10/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
420 F ST
PINEVILLE LA, 71360-0606, US
Phone (318) 458-5535
Fax (318) 290-5560
Business Location
BENTON LA, 71006-4118, US
Phone (318) 458-5535
Fax (318) 290-5560
Taxonomy Code 363A00000X
License State
License Number
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According to our database, Dwayne Allen Gates PA NPI is 1679757538, taxonomy code is 363A00000X Dwayne Allen Gates PA physically located at 420 F St, Pineville LA, 71360-0606. NPI Number Dwayne Allen Gates PA has the Individual type.

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1679757538 NPI number is provided on an as is basis without warranty of any kind. 1679757538 is maintained by the National Plan & Provider Enumeration System. The contents of Dwayne Allen Gates PA are for informational purposes only.