| NPI | 1669425385 |
|---|---|
| Professional Name | ROGER J BIDWELL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 44815) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 128639) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2011-01-07 |