Roger Dean Gates CRNA

NPI 1114093614 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1114093614
Gender Male
Enumeration Date 11/27/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3018 W PELICAN DR
OAK ISLAND NC, 28465-7743, US
Phone (910) 278-9365
Fax (910) 278-1288
Business Location
3018 W PELICAN DR
OAK ISLAND NC, 28465-7743, US
Phone (910) 278-9365
Fax (910) 278-1288
Toxanomy
Taxonomy Code 367500000X
License State North Carolina
License Number 055985
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According to our database, Roger Dean Gates CRNA NPI is 1114093614, taxonomy code is 367500000X and license number is 055985, license state is located at North Carolina. Roger Dean Gates CRNA physically located at 3018 W Pelican Dr, Oak Island NC, 28465-7743. NPI Number Roger Dean Gates CRNA has the Individual type.

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1114093614 NPI number is provided on an as is basis without warranty of any kind. 1114093614 is maintained by the National Plan & Provider Enumeration System. The contents of Roger Dean Gates CRNA are for informational purposes only.