Individual
ALBERT DONALD BICKFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3025 W CHERRY LANE, STE B, MERIDIAN, ID 83642-1026
(208) 367-8550
(208) 367-8555
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 367-8550
(208) 367-8555
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA314
ID
Other
Enumeration date
02/15/2006
Last updated
11/04/2014
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