Ryan Lee Bates, D. C.
Chiropractor in Shreveport, LA. Individual provider (NPI-1).
NPI number1790067593
StatusActive
Last updated in NPPESJan 28, 2013
Details
- NPI
- 1790067593
- Entity type
- Individual (NPI-1)
- Name
- Ryan Lee Bates
- Credential
- D. C.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 16, 2011
- Last updated
- Jan 28, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 1624 | LA | Yes |
Practice location
7591 Fern Ave Ste 1502Shreveport, LA 71105-5748
Phone 318-220-8753 · Fax 318-220-8764
Mailing address
7591 Fern Ave Ste 1502Shreveport, LA 71105-5748
Phone 318-220-8753 · Fax 318-220-8764
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