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1124009600
BERNARD ALVAN TISDALE
RICHMOND, VA
NPI
1124009600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0001X Radiology, Radiation Oncology
(Licence: VA 0101040236)
Enumeration Date
2005-11-10
Last Update Date
2007-07-08
Business Address
-- BERNARD ALVAN TISDALE MD
1109 W MARSHALL ST
RICHMOND, VA 23220-3835
Phone number: 804-257-7337
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Mailing Address
-- BERNARD ALVAN TISDALE MD
1109 W MARSHALL ST
RICHMOND, VA 23220-3835
Phone number: 804-257-7337
Copy
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