Individual
CLINTON RAY GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
04-42370
KS
208600000X
Surgery Physician
Primary
2019014998
MO
Other
Enumeration date
06/13/2014
Last updated
12/06/2024
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