BATES FAMILY PRACTICE PLLC NPI 1336734946

NPI Information

BATES FAMILY PRACTICE PLLC is a general practice in Phoenix, AZ. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee BATES FAMILY PRACTICE PLLC NPI is 1336734946. The provider is registered as an organization entity type.

The provider's business location address is:

520 E BETHANY HOME RD
PHOENIX, AZ
ZIP 85012-207
Phone: (602) 726-3301
Fax: (602) 654-3300

The provider's authorized official is Gina Bates .
The authorized official title is Owner and has the following contact phone number (512) 554-4523.

The CLIA number assigned to this NPI record is 03D2221801 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/5/2021 and was last updated on 11/21/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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