Individual
DR. RYAN SHANE BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4 WEST DRIVE, SUITE 100, CHESTERFIELD, MO 63017-0003
(636) 536-3622
Mailing address
62 BRIARCHASE CT, O FALLON, MO 63367-6462
(314) 496-1825
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2008000238
MO
Other
Enumeration date
01/03/2008
Last updated
03/27/2012
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