MR. Matthew Bates, MATTHEW BATES

NPI #1477808988 in Shawnee, Oklahoma

Provider Information

NPI Number: 1477808988
Entity Type: Individual
Name: MR. Matthew Bates, MATTHEW BATES
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Credential: MATTHEW BATES
Enumeration Date: Jul 20, 2012
Last Updated: Jul 20, 2012

Practice Location

Address: 4101 N POTTENGER AVE
City: Shawnee
State: Oklahoma
ZIP Code: 74804-1262
Phone: (719) 352-7058

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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