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GERALD L. GATES MD PS

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Company Details

Legal Name: GERALD L. GATES MD PS
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: February 23rd 1981
Date of Dissolution: June 1st 2012
Expiration date: 28 Feb 2012
UBI Number: 600 403 891

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Registered Agent Information

Name Role Address
GERALD L GATES MD Registered Agent 7020 E JAMIESON, SPOKANE, WA, 99223, UNITED STATES

Key Officers & Management

Name Role
GERALD GATES Governing Person

National Provider Identifier

NPI Number:
1093904963

Authorized Person:

Name:
GERALD L GATES
Role:
PHYSICIAN OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
5097771279
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