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1841856598
GREGG TIDRICK
TEMPE, AZ
NPI
1841856598
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AZ 227355)
Enumeration Date
2019-05-17
Last Update Date
2019-06-11
Business Address
Dr. GREGG TIDRICK DNP
2000 E SOUTHERN AVE STE 102
TEMPE, AZ 85282-7510
Phone number: 480-820-9141
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Mailing Address
Dr. GREGG TIDRICK DNP
2688 E SANTA ROSA DR
GILBERT, AZ 85234-1487
Phone number: 602-919-7226
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