STEPHEN J TIDIK

SAN LUIS OBISPO, CA
NPI1053306803
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: CA  G57086)
Additional Taxonomies174400000X Specialist
(Licence: CA  G57086)
Enumeration Date2005-09-19
Last Update Date2008-06-17
Business Address
Dr. STEPHEN J TIDIK M.D.
77 CASA ST SUITE 103
SAN LUIS OBISPO, CA 93405-5803
Phone number: 805-544-8993
Mailing Address
Dr. STEPHEN J TIDIK M.D.
77 CASA ST SUITE 103
SAN LUIS OBISPO, CA 93405-5803
Phone number: 805-544-8993
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