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 10 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
Remove 1679757538 NPI Number

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.

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.