| NPI | 1134932338 |
|---|---|
| Other Name | TIDALHEALTH GASTROENTEROLOGY |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE GARY Sr Vice President Finance 410-912-6059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2025-01-30 |
| Last Update Date | 2025-01-30 |