John Edward Tidwell in Fresno - Orthopaedic Trauma
John Edward Tidwell - NPI 1184885519
John Edward Tidwell is a Orthopaedic Trauma in Fresno, California. John Edward Tidwell practices all healthcare services and medical treatments related to Orthopaedic Trauma. The NPI Number for John Edward Tidwell is 1184885519. The last update date is 2015-08-24.
John Edward Tidwell's current location address is 2625 E Divisadero St, Fresno, California. You can contact this provider via phone number 5594432682 and fax number 5594432681. The mailing address for John Edward Tidwell is 2625 E Divisadero St, Fresno, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | John Edward Tidwell |
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Address | 2625 E Divisadero St, Fresno, California |
Phone Number | 5594432682 |
Fax Number | 5594432681 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1184885519 |
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Provider Enumeration Date | 2008-06-18 |
Last Updated Date | 2015-08-24 |
Provider Mailing Address Detail
Address | 2625 E Divisadero St |
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City | Fresno |
State | California (CA) |
Post Code | 937211431 |
Phone Number | 5594432682 |
Fax Number | 5594432681 |
Provider's Primary Taxonomy Detail
Speciality | Orthopaedic Trauma |
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Taxonomy | 207Xx0801X |
Licence No | A137400 |
Definition: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic defo |
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What is the unique 10-digit identification code assigned to John Edward Tidwell by the Centers for Medicare & Medicaid Services?
The John Edward Tidwell has been issued the NPI (National Provider Identifier) 1184885519, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the John Edward Tidwell's physical address?
The John Edward Tidwell is physically located at 2625 E Divisadero St, in the city of Fresno, CA, with the postal code 937211431.
What is the John Edward Tidwell's area of specialization and corresponding taxonomy classification?
The John Edward Tidwell's specialty field is Orthopaedic Trauma, and it falls under the taxonomy code 207Xx0801X, which categorizes healthcare providers based on their specialties.
On what date did the John Edward Tidwell receive its 1184885519 assignment from the Centers for Medicare & Medicaid Services?
The John Edward Tidwell was assigned its 1184885519 by the Centers for Medicare & Medicaid Services on 2008-06-18.
When was the information regarding John Edward Tidwell most recently updated?
The details pertaining to the John Edward Tidwell, including its address, specialty, and other relevant information, were last refreshed on 2015-08-24.
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