Individual
RICKY BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1311 N LOTTIE AVE, OKLAHOMA CITY, OK 73117-2051
(405) 600-3074
(405) 605-8120
Mailing address
1311 N LOTTIE AVE, OKLAHOMA CITY, OK 73117-2051
(405) 600-3074
(405) 605-8120
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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