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Individual

CHRISTOPHER W TIDWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
405 W GRAND AVE, DAYTON, OH 45405-4720
(937) 723-3210
Mailing address
249 SIGNATURE DR S, XENIA, OH 45385-8903
(937) 347-2116

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34-007867
OH

Other

Enumeration date
02/21/2006
Last updated
10/01/2007
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