Individual
DR. ELIJAH CAIN BIDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN-CRNA
Contact information
Practice address
4845 ALAMEDA AVE, EL PASO, TX 79905-2705
(915) 215-5666
(915) 215-5047
Mailing address
PO BOX 1943, FABENS, TX 79838-1943
(915) 303-6564
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1029155
TX
Other
Enumeration date
02/03/2021
Last updated
03/29/2021
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