Individual provider · Type 1 NPI
Bethany Jean Gates, PA C
Medical Physician Assistant · Augusta, ME
NPI number
1457347148
Active
Practice location
6 E Chestnut St Ste C-3
Augusta, ME 04330-5717
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 0110001499 (VA) |
| Medical Physician Assistant Primary | 363AM0700X | PA1330 (ME) |
Medical Physician Assistant: Definition to come...
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About NPI 1457347148
Bethany Jean Gates, PA C's National Provider Identifier is 1457347148, issued on Sep 27, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Augusta, ME. The record was last updated on Mar 1, 2013.