Shad T Bateman, DO

NPI #1104478007 in Blackfoot, Idaho

Provider Information

NPI Number: 1104478007
Entity Type: Individual
Name: Shad T Bateman, DO
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Jul 10, 2019
Last Updated: Apr 23, 2025

Practice Location

Address: 98 POPLAR ST
City: Blackfoot
State: Idaho
ZIP Code: 83221-1758
Phone: (208) 782-2980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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