Organization
TOMMY R. TIGAR, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMMY R TIGAR M.D. (PRESIDENT)
(937) 289-2455
Entity
Organization
Contact information
Practice address
341 E. MAIN STREET, CLARKSVILLE, OH 45113
(937) 289-2455
Mailing address
1150 PRATT RD, BLANCHESTER, OH 45107-8777
(937) 383-0643
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35074055T
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2149099
—
OH
Enumeration date
07/06/2007
Last updated
04/25/2008
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