Provider Demographics
NPI:1396856837
Name:BATES, STEVEN RAR (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:RAR
Last Name:BATES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1372 HINRICHS WAY
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92027-4135
Mailing Address - Country:US
Mailing Address - Phone:760-738-1265
Mailing Address - Fax:760-738-3181
Practice Address - Street 1:CAL STATE SAN MARCOS
Practice Address - Street 2:STUDENT HEALTH AND COUNSELING SERVICES
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92096-0001
Practice Address - Country:US
Practice Address - Phone:760-750-4915
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC42243207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine