Individual
TRUDY BEARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
465 MEMORIAL DR, POCATELLO, ID 83209-0001
(208) 282-4700
Mailing address
465 MEMORIAL DR, POCATELLO, ID 83201-4008
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-543
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA-543
PA LICENSE NUMBER
ID
Enumeration date
11/15/2005
Last updated
08/01/2009
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