Jason Deon Gates O.D.

NPI 1053481457 - Optometrist - 152W00000X

NPI Details
NPI 1053481457
Gender Male
Enumeration Date 11/09/2006
Last Updated 01/23/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
200 N HARWOOD ST
NEWPORT AR, 72112-3683, US
Phone (870) 523-3200
Fax (870) 523-3204
Business Location
200 N HARWOOD ST
NEWPORT AR, 72112-3683, US
Phone (870) 523-3200
Fax (870) 523-3204
Toxanomy
Taxonomy Code 152W00000X
License State Arkansas
License Number 2478
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According to our database, Dr. Jason Deon Gates O.D. NPI is 1053481457, taxonomy code is 152W00000X and license number is 2478, license state is located at Arkansas. Jason Deon Gates O.D. physically located at 200 N Harwood St, Newport AR, 72112-3683. NPI Number Jason Deon Gates O.D. has the Individual type.

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1053481457 NPI number is provided on an as is basis without warranty of any kind. 1053481457 is maintained by the National Plan & Provider Enumeration System. The contents of Jason Deon Gates O.D. are for informational purposes only.