Individual provider · Type 1 NPI

Stephen J. Tidik, MD

Surgery Physician · San Luis Obispo, CA

NPI number 1053306803 Active

Practice location

77 Casa St, Suite 103
San Luis Obispo, CA 93405-5803

Fax (805) 544-0120

Specialties and licenses

Taxonomy	Code	License
Specialist	174400000X	G57086 (CA)
Surgery Physician Primary	208600000X	G57086 (CA)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

28 other providers at this address

Other surgery physician providers in San Luis Obispo

See all in San Luis Obispo →

About NPI 1053306803

Stephen J. Tidik, MD's National Provider Identifier is 1053306803, issued on Sep 19, 2005. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in San Luis Obispo, CA. The record was last updated on Jun 17, 2008.