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Individual
DR. RONALD COURY TISDALE
Active
Individual
DR. RONALD COURY TISDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
NULL
207P00000X
Emergency Medicine Physician
MD.41401
AL
207Q00000X
Family Medicine Physician
Primary
MD.41401
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
09/01/2017
Last updated
09/02/2020
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