Provider Demographics
NPI:1831498351
Name:GATES, ARTHUR R III
Entity Type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:R
Last Name:GATES
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1807 ALICE WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-2806
Mailing Address - Country:US
Mailing Address - Phone:916-420-4499
Mailing Address - Fax:
Practice Address - Street 1:1807 ALICE WAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-2806
Practice Address - Country:US
Practice Address - Phone:916-420-4499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-23
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver