Individual
IAN ANDREW BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1855 N STAPLEY DR, MESA, AZ 85203-3002
(480) 834-7546
Mailing address
1152 N ESTRADA, MESA, AZ 85207-4477
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
6838
AZ
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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