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Individual

WILLIS D. BIDGOOD JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., M.S., M.DIV.

Contact information

Practice address
THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL, CAMPUS BOX 7510, CHAPEL HILL, NC 27599-7510
(919) 966-3085
Mailing address
THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL, CAMPUS BOX 7510, CHAPEL HILL, NC 27599-7510
(919) 966-3085

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
23913
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
654353
FL
05
8915442
NC
Enumeration date
07/02/2008
Last updated
07/02/2008
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