Bruce Malcom Lidston
M.D. | Pediatric Adolescent Medicine | Male
Bruce Malcom Lidston, M.D. is a Huntingdon, Pennsylvania based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Bruce Malcom Lidston is
1227 Warm Springs Ave, J.c. Blair Physician's Building #301, Huntingdon, Pennsylvania - 16652-2300. He can be contacted on phone at
814-643-0531 and fax number 814-643-6637.
Bruce Malcom Lidston is a sole proprietor of his business.
NPI number (Unique professional ID) for Bruce Malcom Lidston is
1407894173 which was assigned by NPPES on 03 Jun, 2006 and it was last updated on 08 Jul, 2007.
Bruce Malcom Lidston license number is
MD016074E for Pediatrics Adolescent Medicine (2080A0000X) in Pennsylvania.
Bruce Malcom Lidston specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Bruce Malcom Lidston basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Bruce Malcom Lidston |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Bruce Malcom Lidston address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1227 Warm Springs Ave, J.c. Blair Physician's Building #301
Huntingdon, PA, 16652-2300
United States |
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| Phone Number : | 814-643-0531 |
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| Fax Number : | 814-643-6637 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1407894173 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 03 Jun, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bruce Malcom Lidston are as mentioned. Primary taxonomy code for Bruce Malcom Lidston, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | MD016074E | PA |
Legacy Identifiers:
Other legacy medical identifiers of Bruce Malcom Lidston such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 000676816/0004 | MEDICAID | PA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 7297 Loveland Dr
Huntingdon, PA, 16652-4562
United States |
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| Phone Number : | 814-643-0766 |
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Business Location:
Patients can refer following map for directions to
Bruce Malcom Lidston practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.