MELISSA D BATES

IDAHO FALLS, ID
NPI1962571331
Former NameMELISSA D CUSHMAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA513)
Enumeration Date2006-11-07
Last Update Date2018-09-21
Business Address
MELISSA D BATES PA
808 PANCHERI DR
IDAHO FALLS, ID 93402-3344
Phone number: 208-552-6900
Mailing Address
MELISSA D BATES PA
3450 POTOMAC WAY
IDAHO FALLS, ID 83404-4970
Phone number: 208-557-2900
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