Jesse Bradshaw, PA-C

NPI 1821579012 · on the registry since 2018

Practice

Address: 1252 Bennett Ave Ste B
Burley, ID 83318
Phone: (208) 647-0656
Organisation at this address: Sterling Medical Llc
Page Family Medicine
Evening Medical Clinic
Michael P. Klett, D.O., P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: Physician Assistant
363A00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2018-12-13

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