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DR. MATTHEW SCOTT BIDLACK M.D.
>> Organized Health Care Education/Training Program >> StudentRegistrant NPI Number: 1922331503
Individual Registrant:DR. MATTHEW SCOTT BIDLACK M.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
NAVAL HOSPITAL CAMP PENDLETON BLDG H100 SANTA MARGARITA RD CAMP PENDLETON, CA 92055 US
Tel: 760-725-1400 Fax: --
Tel: 760-725-1400 Fax: --
Contact information for business:
NAVAL HOSPITAL CAMP PENDLETON BLDG H100 SANTA MARGARITA RD CAMP PENDLETON, CA 92055 US
Tel: 760-725-1400 Fax: --
Tel: 760-725-1400 Fax: --
Registration Information:
NPI: 1922331503
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 390200000X | Student Organized Health Care Education/Training Program |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
