Individual
DR. PATRICE TALLEY BIDWELL
Active
Individual
DR. PATRICE TALLEY BIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME47516
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME47516
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37487
BLUE CROSS
FL
Enumeration date
02/02/2006
Last updated
10/11/2007
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