Individual
TERESA M TIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST/CFA
Contact information
Practice address
8433 HARCOURT RD, SUITE 100, INDIANAPOLIS, IN 46260-2190
(317) 583-7600
(317) 583-7601
Mailing address
8433 HARCOURT RD, SUITE 100, INDIANAPOLIS, IN 46260-2190
(317) 583-7600
(317) 583-7601
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
03/19/2010
Last updated
03/19/2010
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