Organization
JAMES H BATES MD PLLC
Active
Other names
Spine & Physical Medicine PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES H BATES M.D. (OWNER)
(208) 401-1000
Entity
Organization
Contact information
Practice address
2690 S EAGLE RD STE 150, MERIDIAN, ID 83642-6704
(208) 401-1000
(208) 401-1010
Mailing address
2690 S EAGLE RD STE 150, MERIDIAN, ID 83642-6704
(208) 401-1000
(208) 401-1010
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
M7754
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805574800
—
ID
Enumeration date
07/10/2007
Last updated
04/03/2014
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