-- TRUDY BEARDEN -- PA-C
Individual Provider (NPI-1)
Active
Physician Assistant, Medical
Provider Information
- NPI Number
1639151848- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 465 MEMORIAL DR, POCATELLO, ID, 832090001
- Phone
- (208) 282-4700
Specialties & Taxonomies
Physician Assistant, Medical
Primary License: ID #PA-543
All Addresses
MAILING
465 MEMORIAL DR
POCATELLO, ID, 832014008