Individual
RYAN LEE BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D. C.
Contact information
Practice address
7591 FERN AVE STE 1502, SHREVEPORT, LA 71105-5748
(318) 220-8753
(318) 220-8764
Mailing address
7591 FERN AVE STE 1502, SHREVEPORT, LA 71105-5748
(318) 220-8753
(318) 220-8764
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1624
LA
Other
Enumeration date
09/16/2011
Last updated
01/28/2013
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