| NPI | 1124643184 |
|---|---|
| Other Name | TIDALHEALTH PULMONOLOGY |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE GARY CFO 410-912-6059 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2023-02-28 |