Individual
JOHN LOUIS BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NREMT
Contact information
Practice address
LYSTER ARMY HEALTH CLINIC, BLDG 301 ANDREWS AVE, FORT RUCKER, AL 36362-5333
(334) 255-7879
Mailing address
LYSTER ARMY HEALTH CLINIC, BLDG 301 ANDREWS AVE, FORT RUCKER, AL 36362-5333
(334) 255-7879
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
M5069030
NC
146N00000X
Basic Emergency Medical Technician
E2057475
TX
Other
Enumeration date
05/01/2018
Last updated
03/11/2019
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