Individual
MR. TODD B BLEDSOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
825 SE BISHOP BLVD STE 200, PULLMAN, WA 99163-5537
(509) 332-2517
(509) 334-9247
Mailing address
825 SE BISHOP BLVD STE 200, PULLMAN, WA 99163-5537
(509) 332-2517
(509) 334-9247
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-390
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003602100
—
ID
Enumeration date
01/03/2007
Last updated
12/29/2009
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