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1285606186
GLENN PORTER BIDWELL, JR.
FRANKLIN, VA
NPI
1285606186
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: VA 0101022437)
Enumeration Date
2006-02-03
Last Update Date
2020-02-05
Business Address
Dr. GLENN PORTER BIDWELL, JR. M.D.
102 FAIRVIEW DR SUITE B
FRANKLIN, VA 23851
Phone number: 757-562-2158
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Mailing Address
Dr. GLENN PORTER BIDWELL, JR. M.D.
8580 MAGELLAN PKWY
RICHMOND, VA 23227-1149
Phone number:
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