DR. TYSON TIDWELL, D.O.
Pediatrics
Active
Individual
NPI: 1215347463
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Pediatrics | 208000000X | Yes | 11271416-1204 (UT) |
| Hospitalist | 208M00000X | No | 007623 (AZ) |
Frequently Asked Questions
NPI 1215347463 is the National Provider Identifier for DR. TYSON TIDWELL, D.O., a Pediatrics provider located in Heber City, UT. This NPI was enumerated on April 28, 2014.
DR. TYSON TIDWELL, D.O. practices at 454 E MEDICAL WAY, Heber City, UT 84032.
Quick Facts
- NPI
- 1215347463
- Type
- Individual
- Enumerated
- Apr 28, 2014
- Last Updated
- Apr 26, 2022
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