DR. HOLLIS TIDMORE, MD

Surgery

Active Individual
NPI: 1962473975

Practice Address

1422 S SAM HOUSTON BLVD
Houston, MO 65483

Phone: (417) 967-1252

Specialties

Specialty Code Primary License
Surgery - Vascular Surgery 2086S0129X No 2009005897 (MO)
Surgery 208600000X Yes 2009005897 (MO)
Surgery - Trauma Surgery 2086S0127X No 2009005897 (MO)

Frequently Asked Questions

NPI 1962473975 is the National Provider Identifier for DR. HOLLIS TIDMORE, MD, a Surgery provider located in Houston, MO. This NPI was enumerated on January 28, 2006.
DR. HOLLIS TIDMORE, MD practices at 1422 S SAM HOUSTON BLVD, Houston, MO 65483.

Quick Facts

NPI
1962473975
Type
Individual
Enumerated
Jan 28, 2006
Last Updated
Jan 31, 2023

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