DR. STEPHEN TIDIK, M.D.

Surgery

Active Individual
NPI: 1053306803

Practice Address

77 CASA ST
SUITE 103
San Luis Obispo, CA 93405

Phone: (805) 544-8993

Specialties

Specialty Code Primary License
Specialist 174400000X No G57086 (CA)
Surgery 208600000X Yes G57086 (CA)

Frequently Asked Questions

NPI 1053306803 is the National Provider Identifier for DR. STEPHEN TIDIK, M.D., a Surgery provider located in San Luis Obispo, CA. This NPI was enumerated on September 19, 2005.
DR. STEPHEN TIDIK, M.D. practices at 77 CASA ST, SUITE 103, San Luis Obispo, CA 93405.

Quick Facts

NPI
1053306803
Type
Individual
Enumerated
Sep 19, 2005
Last Updated
Jun 17, 2008

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