Search › Arizona › 208000000X
Jennifer Tidroski, D.O
NPI 1639457245 · on the registry since 2011
Practice
- Address
- 2120 Centerpointe West Dr
Prescott, AZ 86301 - Phone
- (928) 778-4581
- Fax
- (928) 776-1872
- Organisation at this address
- Ponderosa Pediatricss Plc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 208000000X
208000000X
- Also registered as
- 208000000X
- Licence states on file
- TX, AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-02-21
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 Arizona