Organization
BATES ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE BATES CRNA (OWNER)
(509) 993-5986
Entity
Organization
Contact information
Practice address
5715 N LIDGERWOOD ST, SPOKANE, WA 99208-1225
(509) 455-4455
Mailing address
PO BOX 3518, IDAHO FALLS, ID 83403-3518
(800) 338-5378
(208) 523-8978
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
01/12/2023
Last updated
07/31/2023
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