Organization
RICHARD J. BIDSTRUP, M.D. LTD.
Active
Other names
Ear, Nose, Throat, and Allergy Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD J. BIDSTRUP M.D. (PHYSICIAN)
(337) 942-2674
Entity
Organization
Contact information
Practice address
4049 I 49 S SERVICE RD, OPELOUSAS, LA 70570-0757
(337) 942-2674
(337) 948-1858
Mailing address
4049 I 49 S SERVICE RD, OPELOUSAS, LA 70570-0757
(337) 942-2674
(337) 948-1858
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
L009234
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1153834
—
LA
01
—
4354896360
BLUE CROSS BLUE SHIELD LA
LA
Enumeration date
03/18/2008
Last updated
03/18/2008
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