| NPI | 1134956394 |
|---|---|
| Other Name | TIDALHEALTH ANESTHESIA OUTPATIENT |
| Entity Type | Organization |
| Authorized Contact | WILLIAM PELOT Chief Administrator Officer 410-543-7497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2025-07-22 |