Organization
BRUCE M LIDSTON AND ALLEN B ETTENGER PARTNERS
Active
Other names
Huntingdon Pediatric Associates
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE M LIDSTON MD (PARTNER)
(814) 643-0531
Entity
Organization
Contact information
Practice address
1227 WARM SPRINGS AVE, SUITE 301, HUNTINGDON, PA 16652-2300
(814) 643-0531
(814) 643-6637
Mailing address
1227 WARM SPRINGS AVE, SUITE 301, HUNTINGDON, PA 16652-2300
(814) 643-0531
(814) 643-6637
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
010231
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007685540005
—
PA
Enumeration date
07/26/2007
Last updated
07/01/2008
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