Individual
DR. JAROD RYAN CATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2705 N. LEBANON ST. STE 415, LEBANON, IN 46052-8621
(765) 485-8900
(765) 485-8909
Mailing address
2605 N LEBANON ST, LEBANON, IN 46052-1476
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01058173A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200487340
—
IN
Enumeration date
04/03/2006
Last updated
10/10/2023
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