Individual
DR. JOHN ROBERT BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 WYOMING ST STE B, LANDER, WY 82520-3919
(307) 206-1121
Mailing address
105 WYOMING ST STE B, LANDER, WY 82520-3919
(307) 206-1121
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
14728A
WY
2084P0800X
Psychiatry Physician
M-13088
ID
2084P0800X
Psychiatry Physician
MD24828
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225939700
—
WY
05
—
240533
—
OR
Enumeration date
09/29/2006
Last updated
04/01/2024
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