Individual
BRANDON POPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1501 HILAND AVE, BURLEY, ID 83318-2688
(208) 678-4444
Mailing address
1501 HILAND AVE, BURLEY, ID 83318-2688
(208) 678-4444
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-1411
ID
Other
Enumeration date
09/28/2015
Last updated
02/02/2024
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