JUSTIN TIDWELL, DPM
Podiatrist - Foot & Ankle Surgery
Active
Individual
NPI: 1710908892
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Podiatrist - Foot & Ankle Surgery | 213ES0103X | Yes | DP00373 (OR) |
Frequently Asked Questions
NPI 1710908892 is the National Provider Identifier for JUSTIN TIDWELL, DPM, a Podiatrist - Foot & Ankle Surgery provider located in Portland, OR. This NPI was enumerated on July 22, 2006.
JUSTIN TIDWELL, DPM practices at 501 N GRAHAM ST, SUITE 415, Portland, OR 97227.
Quick Facts
- NPI
- 1710908892
- Type
- Individual
- Enumerated
- Jul 22, 2006
- Last Updated
- Jul 8, 2007
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