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Travis Tidwell, DPM

NPI 1043627292 · on the registry since 2014

Practice

Address
2710 Saint Francis Dr Ste 510
Waterloo, IA 50702
Phone
(319) 272-5000
Fax
(319) 272-5236
Organisation at this address
Ashok K Nakhasi
Bastug Plastic Surgery Pc
Barnard Plastic Surgery, Pc
Covenant Medical Center Inc
Covenant Medical Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
121

Registry record

Primary taxonomy
213E00000X
213E00000X
Also registered as
213E00000X
Licence states on file
UT, IA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-05-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa