NPI | 1467277863 |
---|---|
Other Name | TIDALHEALTH PHYSICIAN NETWORK |
Entity Type | Organization |
Authorized Contact | STEPHANIE GARY Vice President Finance 410-912-6059 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2024-11-20 |
Last Update Date | 2024-11-20 |