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DR. JOHN SAMUEL BIDELSPACH DPM

Foot & Ankle Surgery >> Podiatrist >> Podiatric Medicine & Surgery Service Providers

Registrant NPI Number: 1326299512

Individual Registrant:
DR. JOHN SAMUEL BIDELSPACH DPM
Gender: M
Sole Proprietor

Location and contact information for practice:
487 BAYOU VILLAGE DR  TARPON SPRINGS, FL 34689-3607 US
Tel: 866-362-3668  Fax: 866-596-7195

Contact information for business:
PO BOX 2497  TARPON SPRINGS, FL 34688-2497 US
Tel: 866-362-3668  Fax: 866-596-7195

Registration Information:
NPI: 1326299512
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y213ES0103XPodiatric Medicine & Surgery Service Providers
Podiatrist
Foot & Ankle Surgery
FLP0002345
N213ES0103XPodiatric Medicine & Surgery Service Providers
Podiatrist
GA657

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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