SHAD T BATEMAN DO
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1104478007- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DO
- Status
- Active
Contact & Location
- Address
- 98 POPLAR ST, BLACKFOOT, ID, 832211758
- Phone
- (208) 782-2980
- Fax
- (208) 785-3504
Specialties & Taxonomies
Family Medicine
Primary License: ID #O-1720