Organization
BERNARD A TISDALE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNARD T TISDALE MD (OWNER)
(804) 254-5100
Entity
Organization
Contact information
Practice address
26079 LEE HIGHWAY, ABINGDON, VA 24211
(276) 739-2222
Mailing address
1020A BOAL AVE, BOALSBURG, PA 16827-1509
(814) 237-8627
(814) 238-0083
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
VA
Other
Enumeration date
11/20/2006
Last updated
07/21/2022
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