RICHARD H TIDWELL

JAY, OK
NPI1346208725
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OK  18708)
Enumeration Date2006-05-03
Last Update Date2017-01-20
Business Address
Dr. RICHARD H TIDWELL MD
2485 N MAIN ST
JAY, OK 74346-0987
Phone number: 918-253-2550
Mailing Address
Dr. RICHARD H TIDWELL MD
PO BOX 987 2485 N MAIN ST
JAY, OK 74346-0987
Phone number: 918-253-2550
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