SHAD T BATEMAN

BLACKFOOT, ID
NPI1104478007
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  O-1720)
Enumeration Date2019-07-10
Last Update Date2025-04-23
Business Address
SHAD T BATEMAN DO
98 POPLAR ST
BLACKFOOT, ID 83221-1758
Phone number: 208-782-2980
Mailing Address
SHAD T BATEMAN DO
98 POPLAR ST
BLACKFOOT, ID 83221-1758
Phone number: 208-782-2980
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