JUSTIN STODDARD BIDWELL

ST PETERSBURG, FL
NPI1437264256
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9102405)
Enumeration Date2006-08-20
Last Update Date2021-10-29
Business Address
JUSTIN STODDARD BIDWELL PA-C
5880 49TH ST N SUITE N-104
ST PETERSBURG, FL 33709-2150
Phone number: 727-528-6100
Mailing Address
JUSTIN STODDARD BIDWELL PA-C
5880 49TH ST N SUITE N-104
ST PETERSBURG, FL 33709-2150
Phone number: 727-528-6100