Individual
MR. JOHN HENRY BIDDLE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
102 WESTFIELD RD, RIDGELAND, MS 39157-9750
(601) 853-0842
Mailing address
102 WESTFIELD RD, RIDGELAND, MS 39157-9750
(601) 853-0842
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R702838
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116286
—
MS
Enumeration date
08/02/2005
Last updated
09/28/2011
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