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Search › Ohio › 242T00000X

Douglas Tidwell, CCP

NPI 1265672505 · on the registry since 2009 · sole proprietor

Practice

Address
580 Lincoln Park Blvd
Suite 322
Kettering, OH 45429
Phone
(937) 297-6800
Fax
(937) 297-6810
Organisation at this address
Healthmates Llc
Ohio Medical Clinic
Med Clinic Of Dayton
Ramic Kettering, L.L.C.
J&W Surgical Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
242T00000X
242T00000X
Sex
Male
Record last updated
2009-02-26

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 Ohio