Organization Name: | ANDERSON & BATES INC |
NPI Number: | 1003098245 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LORI JAYNE WALTER (PRESIDENT) |
Mailing Address: | 413 E Tremaine Ave Gilbert |
State: | AZ US |
Postal Code: | 852344623 |
Phone Number: | 4804565022 |
Fax Number: | 4808207339 |
NPI Enumeration Date: | 11/29/2007 |
NPI Last Update Date: | 03/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QX0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Occupational Medicine |
Taxonomy Definition: |