Individual
BRIAN M GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-3471
(814) 375-3472
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-6351
(814) 372-2682
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS015917
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102767396
—
PA
01
—
266757
MEDICARE
PA
Enumeration date
06/04/2009
Last updated
07/02/2013
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