Brandy M Bates, LLC

NPI #1184573032 in Pocatello, Idaho

Provider Information

NPI Number
1184573032
Entity Type
Organization
Organization Name
Brandy M Bates, LLC
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Jan 23, 2026
Last Updated
Jan 23, 2026

Practice Location

Address
2434 S FAIRWAY DR
State
Idaho
ZIP Code
83201-2372
Phone
(208) 851-9151

Authorized Official

Name
BRANDY M BATES, DMSC, PA-C, CAQ-PSYC
Title
OWNER/PROVIDER
Phone
(208) 851-9151

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty

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