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DR. MATTHEW SCOTT BIDLACK M.D.

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1922331503

Individual Registrant:
DR. MATTHEW SCOTT BIDLACK M.D.
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: --

Contact information for business:
NAVAL HOSPITAL CAMP PENDLETON BLDG H100 SANTA MARGARITA RD CAMP PENDLETON, CA 92055 US
Tel: 760-725-1400  Fax: --

Registration Information:
NPI: 1922331503
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y390200000XStudent
Organized Health Care Education/Training Program

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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