Individual
DR. DOUGLAS J BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10150 SORRENTO VALLEY RD, SUITE 320, SAN DIEGO, CA 92121-1635
(858) 454-4235
(858) 454-4644
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 554-2626
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
G64644
CA
2085R0202X
Diagnostic Radiology Physician
Primary
G64644
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G646440
—
CA
Enumeration date
05/15/2006
Last updated
06/02/2017
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