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Individual

DR. TERRY ALAN BATEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1060 GAFFNEY ROAD, 7400, FT. WAINWRIGHT, AK 99703
(907) 361-5658
Mailing address
PO BOX 678284, DALLAS, TX 75267-8284
(907) 374-9043

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01063421A
IN
207L00000X
Anesthesiology Physician
Primary
MEDS6863
AK

Other

Enumeration date
04/10/2007
Last updated
04/03/2020
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