Rodney Bates JR., DO

NPI #1700822491 in Rexburg, Idaho

Provider Information

NPI Number: 1700822491
Entity Type: Individual
Name: Rodney Bates JR., DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: DO
Enumeration Date: Jun 21, 2006
Last Updated: Jan 30, 2012

Practice Location

Address: 36 PROFESSIONAL PLZ
City: Rexburg
State: Idaho
ZIP Code: 83440-2049
Phone: (208) 359-9411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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