Individual
DR. ROBERT CLYDE VIDAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
36 CLINTON ST, NEW HAMPSHIRE HOSPITAL, CONCORD, NH 03301-2359
(603) 271-5485
Mailing address
36 CLINTON ST, NEW HAMPSHIRE HOSPITAL, CONCORD, NH 03301-2359
(603) 271-5485
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
RT 1643
NH
Other
Enumeration date
01/23/2007
Last updated
06/01/2011
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