MEDICARE: ASHLEY BIDWICK PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AS0400X	Surgical Physician Assistant

General Provider Information

NPI Number	:	1376304329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY BIDWICK PA-C

Provider Business Mailing Address
First Line	:	1715 N GEORGE MASON DR STE 504
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22205-3670
Country	:	US
Telephone Number	:	703-525-2200
Fax Number	:	703-522-2603

Provider Business Practice Location Address
First Line	:	1715 N GEORGE MASON DR STE 504
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22205-3670
Country	:	US
Telephone Number	:	703-525-2200
Fax Number	:	703-522-2603

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/17/2024
Last Update Date	:	01/29/2026

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Directions to “ ASHLEY BIDWICK PA-C” Practice Location

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