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Individual

DR. JAMES H. BATES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

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
06/10/2005
Last updated
04/02/2014
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