Shad A Bates, BS

NPI #1548523103 in Torrington, Wyoming

Provider Information

NPI Number
1548523103
Entity Type
Individual
Name
Shad A Bates, BS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Case Manager/Care Coordinator
Credential
BS
Enumeration Date
Jun 19, 2012
Last Updated
Jun 19, 2012

Practice Location

Address
2802 W C ST
State
Wyoming
ZIP Code
82240-1834
Phone
(307) 532-0134

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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