Individual
DR. MARK L. GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
70 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4928
(573) 334-6071
(573) 334-4739
Mailing address
70 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4928
(573) 334-6071
(573) 334-4739
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
107967
MO
2085R0202X
Diagnostic Radiology Physician
Primary
107967
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207979006
—
MO
Enumeration date
07/31/2006
Last updated
09/22/2022
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