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Individual

DR. JOEL THOMAS GATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
295 SHERMAN STREET, RIDGWAY, CO 81432
(970) 626-5123
(970) 626-9783
Mailing address
295 SHERMAN ST, RIDGWAY, CO 81432-8706
(970) 626-5123
(970) 626-9783

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42428
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
49079719
CO
01
841554989008
ROCKY MOUNTAIN
CO
Enumeration date
10/12/2006
Last updated
04/24/2018
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