Individual
DANIEL BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
70 MAIN ST, PORTER, ME 04068-3527
(207) 625-8126
Mailing address
70 MAIN ST, PORTER, ME 04068-3527
(207) 625-8126
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
DO1945
ME
Other
Enumeration date
07/17/2006
Last updated
02/07/2024
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