Gates, Mark L.

Gates, Mark L. is an individual health care provider with primary practice located at 70 Doctors Park , Cape Girardeau MO 63703-4928. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Gates, Mark L. can be contacted via phone (573) 334-6071.

Contact Information

Primary practice address
70 Doctors Park Cape Girardeau MO 63703-4928
Phone: (573) 334-6071
Fax: (573) 334-4739
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 107967 Missouri
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 107967 Missouri

Profile Details

NPI number 1992711006
LBN Legal business name Gates, Mark L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Sep 22nd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992711006 NPPES
Missouri MEDICAID 207979006

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