Organization
GREGORY E BIDDULPH ORTHOPEDICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY E BIDDULPH M.D. (PRESIDENT)
(208) 522-6662
Entity
Organization
Contact information
Practice address
3300 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7592
(208) 522-6662
(208) 522-0880
Mailing address
3300 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7592
(208) 522-6662
(208) 522-0880
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000100000552
MEDIVANTAGE BS
ID
01
—
000010163002
BLUE SHIELD OF IDAHO
ID
05
—
0027971
—
ID
01
—
196973
ALTIUS
—
01
—
20036025
RAIL ROAD MEDICARE
—
01
—
286007
OREGON MEDICAID
—
01
—
29686
BXI
—
01
—
613028
BX BS OF VIRIGINIA
VA
01
—
7608951
EDS OF NORTH CAROLINA
NC
01
—
77075
BLUE CROSS OF IDAHO
ID
01
—
8157532
OUT OF STATE CLAIMS DEPAR
CA
01
—
Z4950
BUREAU OF MEDICAID
UT
Enumeration date
02/01/2007
Last updated
02/11/2008
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