NPI 1447694856

John Thomas Kidwell

Practitioner Colon & Rectal Surgery Physician Scottsdale, AZ

Practice location

Address: 13400 E Shea Blvd, Scottsdale, AZ 85259-5452
Phone: (480) 301-8000

Registered specialties (2)

Colon & Rectal Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence 49593 (AZ)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1447694856
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Apr 2013
Record last updated: 19 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.