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DR. JIM D. BATES D.O.

>> Thoracic Surgery (Cardiothoracic Vascular Surgery) >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1275572992

Individual Registrant:
DR. JIM D. BATES D.O.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1378 PIONEER TRL  BULLHEAD CITY, AZ 86429-1112 US
Tel: 928-234-4321  Fax: 928-404-2150

Contact information for business:
2744 SILVERCREEK RD  BULLHEAD CITY, AZ 86442-7913 US
Tel: 928-704-7166  Fax: 928-704-7144

Registration Information:
NPI: 1275572992
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208G00000XAllopathic & Osteopathic Physicians
Thoracic Surgery (Cardiothoracic Vascular Surgery)
AZ1897

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
227571AZ05
MEDICARE RAILROAD330005009AZ01
BCBS834640AZ01




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