Individual
TROY LOUIS BIDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
BLDG 1585 3RD ST., FORT POLK, LA 71459
(337) 531-2451
Mailing address
1548 HIGH SCHOOL DR, DERIDDER, LA 70634-2900
(337) 460-9149
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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