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Individual

JASON ANDREW PATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
980 W IRONWOOD DR STE 306, COEUR D ALENE, ID 83814
(208) 625-4970
(208) 625-4991
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-4970
(208) 625-4991

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
60305
MN
207V00000X
Obstetrics & Gynecology Physician
MD60080627
WA
207VM0101X
Maternal & Fetal Medicine Physician
60305
MN
207VM0101X
Maternal & Fetal Medicine Physician
Primary
M-12184
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2010237
WA
Enumeration date
07/11/2007
Last updated
03/18/2025
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