Individual
DR. GEORGETTA BIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4901 W. MCDOWELL RD, PHOENIX, AZ 85035-0000
(623) 849-9088
(623) 849-7875
Mailing address
3333 E CAMELBACK RD, SUITE 180, PHOENIX, AZ 85018-2322
(602) 997-0484
(602) 224-3358
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
7104
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
299108
—
AZ
Enumeration date
05/27/2005
Last updated
02/19/2016
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