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Individual

DR. RONALD W. GATES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
3211 E 10TH ST, TRENTON, MO 64683-3529
(660) 359-2221
(660) 359-2222
Mailing address
3211 E 10TH ST, TRENTON, MO 64683-3529
(660) 359-2221
(660) 359-2222

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
004010
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06159010
BLUE CROSS BLUE SHIELD
MO
Enumeration date
03/14/2007
Last updated
07/09/2007
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