Individual
DR. GREGG TIDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
2000 E SOUTHERN AVE STE 102, TEMPE, AZ 85282-7510
(480) 820-9141
Mailing address
2688 E SANTA ROSA DR, GILBERT, AZ 85234-1487
(602) 919-7226
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
227355
AZ
Other
Enumeration date
05/17/2019
Last updated
06/11/2019
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