Individual
BRIAN D. BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
61 PINE ST, BRISTOL, VT 05443-1043
(802) 453-5028
(802) 453-6105
Mailing address
720 HARRISON AVE # DOB503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42.0013987
VT
Other
Enumeration date
04/17/2014
Last updated
12/07/2022
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