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Jacob Bidwell
Student in an Organized Health Care Education/Training Program in Tucson, Arizona
NPI 1740634161

Jacob Bidwell is a Student in an Organized Health Care Education/Training Program based in Tucson, AZ. Jacob Bidwell practices in Tucson, AZ. The NPI Number for Jacob Bidwell is 1740634161 and holds a License No. 57981 (Arizona).

The current practice location address for Jacob Bidwell is 5301 E Grant Rd, Tucson, AZ and can be reached out via phone at 520-327-5461. You can also correspond with Jacob Bidwell through the mailing address at 5301 E GRANT RD, TUCSON, AZ - 85712-2805 (mailing address contact number: ).

Location: 5301 E Grant Rd, Tucson, AZ, 85712-2805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740634161
Provider Name
Jacob Bidwell
Credential
Provider Entity Type
Individual
Gender
Male
Address
5301 E Grant Rd, Tucson, AZ, 85712-2805
Phone Number
520-327-5461
Fax Number
Provider Enumeration Date
04/21/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5301 E Grant Rd
City
Tucson
State
Arizona
Zip
85712-2805
Phone Number
520-327-5461
Fax Number
person
Provider Business Mailing Address Details
Address
5301 E Grant Rd
City
Tucson
State
Arizona
Zip
85712-2805
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Critical Care Medicine
Taxonomy
2080P0203X
License No.
()
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
57981 (Arizona)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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