Justin Stoddard Bidwell in St Petersburg - Physician Assistant
Justin Stoddard Bidwell - NPI 1437264256
Justin Stoddard Bidwell is a Physician Assistant in St Petersburg, Florida. Justin Stoddard Bidwell practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Justin Stoddard Bidwell is 1437264256. The last update date is 2021-10-29.
Justin Stoddard Bidwell's current location address is 5880 49th St N, St Petersburg, Florida. You can contact this provider via phone number 7275286100 and fax number 7275287895. The mailing address for Justin Stoddard Bidwell is 5880 49th St N, St Petersburg, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Justin Stoddard Bidwell |
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Address | 5880 49th St N, St Petersburg, Florida |
Phone Number | 7275286100 |
Fax Number | 7275287895 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1437264256 |
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Provider Enumeration Date | 2006-08-20 |
Last Updated Date | 2021-10-29 |
Provider Mailing Address Detail
Address | 5880 49th St N |
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City | St Petersburg |
State | Florida (FL) |
Post Code | 337092150 |
Phone Number | 7275286100 |
Fax Number | 7275287895 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA9102405 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
291591000 | FL | -- | |
U0897Y | FL | MEDICARE PTAN |
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What is the Justin Stoddard Bidwell's unique identification number?
The Justin Stoddard Bidwell has been assigned the NPI (National Provider Identifier) Number 1437264256 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
What is the unique 10-digit identification code assigned to Justin Stoddard Bidwell by the Centers for Medicare & Medicaid Services?
The Justin Stoddard Bidwell has been issued the NPI (National Provider Identifier) 1437264256, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Justin Stoddard Bidwell is physically located?
The Justin Stoddard Bidwell is physically situated at the following address: 5880 49Th St N, St Petersburg, FL, 337092150.
On what date did the Justin Stoddard Bidwell receive its 1437264256 assignment from the Centers for Medicare & Medicaid Services?
The Justin Stoddard Bidwell was assigned its 1437264256 by the Centers for Medicare & Medicaid Services on 2006-08-20.
As of what date were the Justin Stoddard Bidwell's details last updated?
The information pertaining to the Justin Stoddard Bidwell, including its address, specialty, and other details, was most recently updated on 2021-10-29.