IndividualActive
Jacob Bidwell
NPI 1740634161 · Pediatric Critical Care Medicine Physician · Tucson, AZ
Provider details
- NPI number
- 1740634161
- Entity type
- Individual
- Primary specialty
- Pediatric Critical Care Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 57981 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
5301 E Grant Rd
Tucson, AZ 85712-2805
Phone: (520) 327-5461
Approximate (ZIP-level) locationGet directions
Mailing address
5301 E Grant Rd
Tucson, AZ 85712-2805
Registry dates
- Enumerated
- 2016-04-21
- Last updated
- 2023-05-27
- Certified
- 2023-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.