Individual provider · Type 1 NPI
Nicholas Twidale, MD, PHD.
Cardiovascular Disease Physician · Elk City, OK
NPI number
1104886209
Active
Practice location
1701 W Avenue A
Elk City, OK 73644-3901
Fax (580) 225-6399
Mailing address
7800 NW 85th Ter
Oklahoma City, OK 73132-3385
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Cardiovascular Disease Physician Primary | 207RC0000X | 17189 (OK) |
Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
About NPI 1104886209
Nicholas Twidale, MD, PHD.'s National Provider Identifier is 1104886209, issued on Mar 24, 2006. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Elk City, OK. The record was last updated on Jun 6, 2022.