Jason Aaron Gates, PAC

NPI #1881839553 in Tulsa, Oklahoma

Provider Information

NPI Number: 1881839553
Entity Type: Individual
Name: Jason Aaron Gates, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Dec 10, 2008
Last Updated: Mar 4, 2011

Practice Location

Address: 4802 S 109TH EAST AVE
City: Tulsa
State: Oklahoma
ZIP Code: 74146-5822
Phone: (918) 392-1511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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