Organization
BERNARD A. TISDALE, M.D., P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNARD A TISDALE M.D. (PHYSICIAN)
(804) 257-7337
Entity
Organization
Contact information
Practice address
1109 W MARSHALL ST, RICHMOND, VA 23220-3835
(804) 257-7337
Mailing address
1109 W MARSHALL ST, RICHMOND, VA 23220-3835
(804) 257-7337
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
VA
Other
Enumeration date
09/06/2006
Last updated
08/22/2020
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