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Search › Idaho › 363AM0700X

Brandy Bates, PA-C

NPI 1487886560 · on the registry since 2009 · sole proprietor

Practice

Address
2434 S Fairway Dr
Pocatello, ID 83201
Phone
(208) 851-9151
Fax
(208) 417-1822
Organisation at this address
Brandy M Bates Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Also registered as
363A00000X
Licence states on file
UT, ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-12-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho