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1538134994
CHRISTOPHER W TIDWELL
DAYTON, OH
NPI
1538134994
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: OH 34-007867)
Enumeration Date
2006-02-21
Last Update Date
2007-10-01
Business Address
-- CHRISTOPHER W TIDWELL D.O.
405 W GRAND AVE
DAYTON, OH 45405-4720
Phone number: 937-723-3210
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Mailing Address
-- CHRISTOPHER W TIDWELL D.O.
249 SIGNATURE DR S
XENIA, OH 45385-8903
Phone number: 937-347-2116
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