Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRUCE MALCOM LIDSTON, M.D.
ActiveBRUCE MALCOM LIDSTON, M.D. is a Adolescent Medicine (Pediatrics) healthcare provider located in HUNTINGDON, Pennsylvania. NPI 1407894173 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine (Pediatrics) · HUNTINGDON, PA
Registration Details
- NPI Number
- 1407894173
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 3, 2006 (20.230321551923 yrs)
- Last Updated
- Jul 8, 2007
- License
-
MD016074E (PA)
Practice Information
- Address
-
1227 WARM SPRINGS AVEJ.C. BLAIR PHYSICIAN'S BUILDING #301HUNTINGDON, PA, 166522300Browse PA providers · Browse ZIP 16652
- Phone
- 8146430531
- Fax
- 8146436637
- Primary Specialty
-
Adolescent Medicine (Pediatrics)
2080A0000X
Other Adolescent Medicine (Pediatrics) Providers in HUNTINGDON, PA
| Name | Credential | NPI |
|---|---|---|
| ALLEN BELO ETTENGER | M.D. | 1497702104 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.