Individual
DR. PHILIP D TWEEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MEDICAL DR, HANNIBAL, MO 63401-6877
(573) 231-3124
(573) 231-3715
Mailing address
100 MEDICAL DR, P.O. BOX 311, HANNIBAL, MO 63401-6877
(573) 231-3124
(573) 231-3715
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2003004610
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208380907
—
MO
Enumeration date
01/12/2006
Last updated
03/04/2021
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