Individual
DR. BROCK T BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
255 36TH ST, OGDEN, UT 84405-7120
(801) 689-1358
(801) 689-1361
Mailing address
860 N FAIRFIELD RD, LAYTON, UT 84041-2725
(801) 546-6352
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6299233-1701
UT
Other
Enumeration date
09/10/2012
Last updated
12/19/2022
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