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Individual

MARKUS GLEN BATEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
701 HOSPITAL LOOP, FAIRCHILD AFB, WA 99011-8704
(530) 841-4960
Mailing address
92ND MDG, 701 HOSPITAL LOOP, FAIRCHILD AFB, SPOKANE, WA 99011

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
8705423-9922
UT
122300000X
Dentist
Primary
8705423-9923
UT

Other

Enumeration date
02/21/2013
Last updated
06/29/2022
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