Brandy M Bates, PA-C

NPI #1487886560 in Pocatello, Idaho

Provider Information

NPI Number
1487886560
Entity Type
Individual
Name
Brandy M Bates, PA-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Aug 21, 2009
Last Updated
Dec 29, 2025

Practice Location

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

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical
Physician Assistant

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