JESSE BRADSHAW, PA-C

Physician Assistant

Active Individual
NPI: 1821579012

Practice Address

1252 BENNETT AVE STE B
Burley, ID 83318

Phone: (208) 647-0656

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes PA1467 (ID)

Frequently Asked Questions

NPI 1821579012 is the National Provider Identifier for JESSE BRADSHAW, PA-C, a Physician Assistant provider located in Burley, ID. This NPI was enumerated on August 24, 2018.
JESSE BRADSHAW, PA-C practices at 1252 BENNETT AVE STE B, Burley, ID 83318.

Quick Facts

NPI
1821579012
Type
Individual
Enumerated
Aug 24, 2018
Last Updated
Dec 13, 2018

Nearby Providers