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Trudy Bearden, PA-C
Medical Physician Assistant in Pocatello, Idaho
NPI 1639151848

Trudy Bearden is a Medical Physician Assistant based in Pocatello, ID and is specialized in Medical. Trudy Bearden practices in Pocatello, ID and has the professional credentials of PA-C. The NPI Number for Trudy Bearden is 1639151848 and holds a License No. PA-543 (Idaho).

The current practice location address for Trudy Bearden is 465 Memorial Dr, Pocatello, ID and can be reached out via phone at 208-282-4700.

Location: 465 Memorial Dr, Pocatello, ID, 83201-4008
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Provider Profile Details
NPI Number
1639151848
Provider Name
Trudy Bearden
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
465 Memorial Dr, Pocatello, ID, 83201-4008
Phone Number
208-282-4700
Fax Number
Provider Enumeration Date
11/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA-543 01 ID PA LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
465 Memorial Dr
City
State
Zip
83209-0001
Phone Number
208-282-4700
Fax Number
person
Provider Business Mailing Address Details
Address
465 Memorial Dr
City
State
Zip
83209-0001
Phone Number
208-282-4700
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA-543 (Idaho)
Definition
Definition to come...
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