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1528769486
DAVID TIDWELL
COLUMBUS, OH
NPI
1528769486
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OH 50.008073RX)
Enumeration Date
2023-03-16
Last Update Date
2023-04-28
Business Address
DAVID TIDWELL PA-C
895 W 3RD AVE
COLUMBUS, OH 43212-3106
Phone number: 614-437-0278
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Mailing Address
DAVID TIDWELL PA-C
2240 SEDGWICK DR
UPPER ARLINGTON, OH 43220-5430
Phone number: 614-551-2186
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