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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. DAVID EUGENE TISDALE, R-PCA

Active

MR. DAVID EUGENE TISDALE, R-PCA is a Physician Assistant healthcare provider located in MASSENA, New York. NPI 1396835112 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · MASSENA, NY

Registration Details

NPI Number
1396835112
Provider Type
Individual
Gender
Male
NPI Issued
Oct 13, 2006 (19.653264387674 yrs)
Last Updated
Feb 6, 2015
License
002506 (NY)

Practice Information

Address
1 HOSPITAL DR
MASSENA, NY, 136621056
Browse NY providers · Browse ZIP 13662
Phone
3157694200
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in MASSENA, NY

Name Credential NPI
CHRISTOPHER A. DODGE PA-C 1326023052
COSETTE ANNE WITTY-LEWIS PA-C 1992861728
PAMELA SUE LEARY PA 1861891814
MRS. CASSANDRA LYNN LASHOMB PHYSICIAN ASSISTANT 1689059727
JOSEPH P SALAMY PA 1447775036
BRENDA L CROWDER 1174013197
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.