Bruce Malcom Lidston in Huntingdon - Adolescent Medicine

Bruce Malcom Lidston - NPI 1407894173

Bruce Malcom Lidston is a Adolescent Medicine in Huntingdon, Pennsylvania. Bruce Malcom Lidston practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Bruce Malcom Lidston is 1407894173. The last update date is 2007-07-08.

Bruce Malcom Lidston's current location address is 7297 Loveland Dr, Huntingdon, Pennsylvania. You can contact this provider via phone number 8146430766. The mailing address for Bruce Malcom Lidston is 7297 Loveland Dr, Huntingdon, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Bruce Malcom Lidston
Address 7297 Loveland Dr, Huntingdon, Pennsylvania
Phone Number 8146430766
Fax Number
Sole Proprietor X
Credentials M.D.

NPI Number Detail

NPI Number 1407894173
Provider Enumeration Date 2006-06-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 7297 Loveland Dr
City Huntingdon
State Pennsylvania (PA)
Post Code 166524562
Phone Number 8146430766
Fax Number

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 2080A0000X
Licence No MD016074E
Definition:
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000676816/0004 PA --

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FAQs about Bruce Malcom Lidston

What is the Bruce Malcom Lidston's 1407894173?

The Bruce Malcom Lidston's NPI (National Provider Identifier) Number is 1407894173. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Bruce Malcom Lidston's physical address?

The Bruce Malcom Lidston is physically located at 7297 Loveland Dr, in the city of Huntingdon, PA, with the postal code 166524562.

What is Bruce Malcom Lidston's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Bruce Malcom Lidston is Adolescent Medicine, and the taxonomy code that categorizes this field of expertise is 2080A0000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1407894173 to Bruce Malcom Lidston?

The Centers for Medicare & Medicaid Services assigned the 1407894173 to Bruce Malcom Lidston on 2006-06-03.

When was the information pertaining to Bruce Malcom Lidston most recently updated or revised?

The details related to Bruce Malcom Lidston, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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