BERNARD ALVAN TISDALE

RICHMOND, VA
NPI1124009600
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0001X 
(Licence: VA  0101040236)
Enumeration Date2005-11-10
Last Update Date2007-07-08
Business Address
-- BERNARD ALVAN TISDALE MD
1109 W MARSHALL ST
RICHMOND, VA 23220-3835
Phone number: 804-257-7337
Mailing Address
-- BERNARD ALVAN TISDALE MD
1109 W MARSHALL ST
RICHMOND, VA 23220-3835
Phone number: 804-257-7337
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