Provider Demographics
NPI:1710256839
Name:STEVEN K BIDLEMAN, M.D. P.C.
Entity Type:Organization
Organization Name:STEVEN K BIDLEMAN, M.D. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:DEA
Authorized Official - Last Name:BIDLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-884-0639
Mailing Address - Street 1:2680 UHRMANN RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:KLAMATH FALLS
Mailing Address - State:OR
Mailing Address - Zip Code:97601-1174
Mailing Address - Country:US
Mailing Address - Phone:541-884-0639
Mailing Address - Fax:541-884-6901
Practice Address - Street 1:2680 UHRMANN RD
Practice Address - Street 2:SUITE A
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97601-1174
Practice Address - Country:US
Practice Address - Phone:541-884-0639
Practice Address - Fax:541-884-6901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-19
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMDO8423261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty