Individual
KIM ALAN BATEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 N 460 E, EPHRAIM, UT 84627-1215
(435) 283-4730
(801) 892-0160
Mailing address
111 N 460 E, EPHRAIM, UT 84627-1215
(435) 283-4730
(801) 892-0160
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
158124-8905
UT
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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