Individual
DWAYNE ALLEN GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
420 F ST, PINEVILLE, LA 71360-0606
(318) 458-5535
(318) 290-5560
Mailing address
224 SIRMAN RD, BENTON, LA 71006-4118
(318) 458-5535
(318) 290-5560
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
LA
Other
Enumeration date
12/27/2007
Last updated
09/10/2014
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