JESSE G BRADSHAW PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1821579012- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 1252 BENNETT AVE STE B, BURLEY, ID, 833182664
- Phone
- (208) 647-0656
Specialties & Taxonomies
Physician Assistant
Primary License: ID #PA1467