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Individual
DR. JEFFREY CARL BICKEL
Active
Individual
DR. JEFFREY CARL BICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
19210
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010168313
REGENCE BLUE SHIELD OF IDAHO
ID
01
—
0238393
DLI
WA
01
—
77490
BLUE CROSS OF IDAHO
ID
05
—
808115100
—
ID
05
—
8519183
—
WA
Enumeration date
09/01/2006
Last updated
11/05/2008
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