| NPI | 1952926891 |
|---|---|
| Other Name | TIDALHEALTH PEDIATRIC SUBSPECIALTY CLINIC |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE GARY CFO 410-912-6059 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2023-02-28 |