Healthcare Provider Details

I. General information

NPI: 1003098245
Provider Name (Legal Business Name): ANDERSON & BATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2007
Last Update Date: 06/07/2023
Certification Date: 06/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9008 E MILLETT DR
TUCSON AZ
85710-6248
US

IV. Provider business mailing address

9008 E MILLETT DR
TUCSON AZ
85710-6248
US

V. Phone/Fax

Practice location:
  • Phone: 602-295-5040
  • Fax: 623-691-7224
Mailing address:
  • Phone: 520-409-2747
  • Fax: 623-691-7224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JESSICA LEE HIGGINS
Title or Position: CORPORATE EXECUTIVE OFFICER
Credential:
Phone: 520-409-2747