Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN SCOTT TIDBALL, M.D.
ActiveJOHN SCOTT TIDBALL, M.D. is a Family Medicine healthcare provider located in CALIFORNIA, Maryland. NPI 1760580476 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · CALIFORNIA, MD
Registration Details
- NPI Number
- 1760580476
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2006 (19.919357377186 yrs)
- Last Updated
- Apr 18, 2011
- License
-
D52196 (MD)
Practice Information
- Address
-
23415 THREE NOTCH RDSUITE 2054 WILDEWOOD CENTERCALIFORNIA, MD, 206194017Browse MD providers · Browse ZIP 20619
- Phone
- 3017377833
- Fax
- 3017374865
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in CALIFORNIA, MD
| Name | Credential | NPI |
|---|---|---|
| MICHAEL GRAY | MD | 1215931605 |
| ARCHANA GUPTA | M.D. | 1609894898 |
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.