Organization
GATES PROSTHETICS & MOBILITY CLINIC CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRAN GATES CPO (PRESIDENT)
(479) 418-2297
Entity
Organization
Contact information
Practice address
1325 N MAIN ST, HARRISON, AR 72601-2212
(870) 307-2174
Mailing address
11766 VALLEYVIEW LN, BENTONVILLE, AR 72712-9330
(870) 307-2174
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/19/2023
Last updated
09/14/2023
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