Individual
DAVID TIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
895 W 3RD AVE, COLUMBUS, OH 43212-3106
(614) 437-0278
Mailing address
2240 SEDGWICK DR, UPPER ARLINGTON, OH 43220-5430
(614) 551-2186
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.008073RX
OH
Other
Enumeration date
03/16/2023
Last updated
04/28/2023
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