Individual
DR. TYLER M BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
28538 DUPONT BLVD UNIT 1, MILLSBORO, DE 19966-4791
(302) 934-0944
(302) 934-0920
Mailing address
28583 DUPONT BLVD, UNIT 1, MILLSBORO, DE 19966-1223
(302) 934-0944
(302) 934-0920
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C2-0012700
DE
207Q00000X
Family Medicine Physician
OT016123
PA
Other
Enumeration date
06/18/2014
Last updated
09/14/2018
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