Individual
LUKE BIDIKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 BRETTWOOD TRCE, CLYDE, NC 28721-8021
(828) 452-9700
(828) 452-3701
Mailing address
15 BRETTWOOD TRCE, CLYDE, NC 28721-8021
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2021-01597
NC
208800000X
Urology Physician
Primary
2021-01597
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2016
Last updated
10/04/2022
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