person
Mr. Dale Edward Bates, MPASPA-C
Medical Physician Assistant in Cleveland, Ohio
NPI 1093871923

Dale Edward Bates is a Medical Physician Assistant based in Eastlake, OH and is specialized in Medical. Dale Edward Bates practices in Cleveland, OH and has the professional credentials of MPASPA-C. The NPI Number for Dale Edward Bates is 1093871923 and holds a License No. 50.000692 (Ohio).

The current practice location address for Dale Edward Bates is 1001 Lakeside Ave E, Cleveland, OH and can be reached out via phone at 440-479-5349 and via fax at 216-420-9354.

Location: 1001 Lakeside Ave E, Cleveland, OH, 44095-5407
person
Provider Profile Details
NPI Number
1093871923
Provider Name
Dale Edward Bates
Credential
MPASPA-C
Provider Entity Type
Individual
Gender
Male
Address
1001 Lakeside Ave E, Cleveland, OH, 44095-5407
Phone Number
440-479-5349
Fax Number
216-420-9354
Provider Enumeration Date
12/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
50.000692 01 OH OHIO STATE LICENSE
1026099 01 OH NATIONAL NCCPA #
institution
Provider Business Practice Location Address Details
Address
1001 Lakeside Ave E
City
State
Zip
44114-1158
Phone Number
440-479-5349
Fax Number
216-420-9354
person
Provider Business Mailing Address Details
Address
1001 Lakeside Ave E
City
State
Zip
44114-1158
Phone Number
440-479-5349
Fax Number
216-420-9354
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
50.000692 (Ohio)
Definition
Definition to come...
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