BRANDY M BATES PA-C
Individual Provider (NPI-1)
Active
Physician Assistant, Medical
Provider Information
- NPI Number
1487886560- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 2434 S FAIRWAY DR, POCATELLO, ID, 832012372
- Phone
- (208) 851-9151
- Fax
- (208) 417-1822
Specialties & Taxonomies
Physician Assistant, Medical
Primary License: UT #11217957-1206
Physician Assistant
License: ID #PA-808