Individual
DR. IGOR BIDIKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 GILES ST, HEFLIN, AL 36264-1738
(256) 463-7454
(256) 463-7725
Mailing address
40 GILES ST, HEFLIN, AL 36264-1738
(256) 463-7454
(256) 463-7725
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
20761
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009935160
—
AL
Enumeration date
03/01/2006
Last updated
12/11/2009
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