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Search › Ohio › 207W00000X

Carter Tisdale, MD

NPI 1518407600 · on the registry since 2017

Practice

Address
4881 Sugar Maple Dr
Wright Patterson Afb, OH 45433
Phone
(937) 522-2841
Organisation at this address
Dayton Vamc
United States Air Force
United States Air Force
Wright Patterson Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
337

Registry record

Primary taxonomy
207W00000X
207W00000X
Also registered as
208D00000X
Licence states on file
AL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-05-09

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