Individual
JOHN T BIDDULPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 P G A DR STE 203, STAFFORD, VA 22554-8218
(540) 370-1600
Mailing address
PO BOX 1750, STAFFORD, VA 22555-1750
(540) 370-1600
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101042704
VA
207X00000X
Orthopaedic Surgery Physician
ME75845
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1201805
FIRST HEALTH PROVIDER ID
VA
01
—
140440
ANTHEM PROVIDER ID
VA
01
—
5748700
AETNA PROVIDER ID
VA
05
—
6400345
—
VA
Enumeration date
01/09/2007
Last updated
04/18/2023
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