Individual
DR. JIM D. BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1378 PIONEER TRL, BULLHEAD CITY, AZ 86429-1112
(928) 234-4321
(928) 404-2150
Mailing address
2744 SILVERCREEK RD, BULLHEAD CITY, AZ 86442-7913
(928) 704-7166
(928) 704-7144
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
1897
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227571
—
AZ
01
—
330005009
MEDICARE RAILROAD
AZ
01
—
834640
BCBS
AZ
Enumeration date
06/06/2006
Last updated
11/19/2019
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