SHAD BATEMAN, DO
Family Medicine
Active
Individual
NPI: 1104478007
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | O-1720 (ID) |
Frequently Asked Questions
NPI 1104478007 is the National Provider Identifier for SHAD BATEMAN, DO, a Family Medicine provider located in Blackfoot, ID. This NPI was enumerated on July 10, 2019.
SHAD BATEMAN, DO practices at 98 POPLAR ST, Blackfoot, ID 83221.
Quick Facts
- NPI
- 1104478007
- Type
- Individual
- Enumerated
- Jul 10, 2019
- Last Updated
- Apr 23, 2025
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