Individual
BRUCE MALCOM LIDSTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1227 WARM SPRINGS AVE, J.C. BLAIR PHYSICIAN'S BUILDING #301, HUNTINGDON, PA 16652-2300
(814) 643-0531
(814) 643-6637
Mailing address
7297 LOVELAND DR, HUNTINGDON, PA 16652-4562
(814) 643-0766
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD016074E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000676816/0004
—
PA
Enumeration date
06/03/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us