Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STEPHEN J TIDIK, M.D.
ActiveDR. STEPHEN J TIDIK, M.D. is a General Surgery healthcare provider located in SAN LUIS OBISPO, California. NPI 1053306803 is currently active in the NPPES registry. Verify at CMS.
General Surgery · SAN LUIS OBISPO, CA
Registration Details
- NPI Number
- 1053306803
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 19, 2005 (20.720428282066 yrs)
- Last Updated
- Jun 17, 2008
- Licenses
-
G57086 (CA)G57086 (CA)
Practice Information
- Address
-
77 CASA STSUITE 103SAN LUIS OBISPO, CA, 934055803Browse CA providers · Browse ZIP 93405
- Phone
- 8055448993
- Fax
- 8055440120
- Primary Specialty
-
General Surgery
208600000X
- Additional Specialty
- General Surgery
Other General Surgery Providers in SAN LUIS OBISPO, CA
| Name | Credential | NPI |
|---|---|---|
| NANCYANN PAWLIK GUTHRIE | MD | 1306847611 |
| DR. DAVID CARLTON BONNHEIM | M.D. | 1558441436 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.