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Individual

DUANE A BATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
8822 S REDWOOD RD, SUITE E122, WEST JORDAN, UT 84088-9336
(801) 256-0009
(801) 256-1133
Mailing address
PO BOX 307, BOUNTIFUL, UT 84011-0307
(801) 294-6907
(801) 294-6917

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102857-1206
UT

Other

Enumeration date
03/24/2006
Last updated
01/08/2010
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