Individual provider · Type 1 NPI

Douglas Tidwell, CCP

Perfusionist · Kettering, OH

NPI number 1265672505 Active

Practice location

580 Lincoln Park Blvd, Suite 322
Kettering, OH 45429-3474

Call (937) 297-6800 Map

Fax (937) 297-6810

Specialties and licenses

TaxonomyCodeLicense
Perfusionist Primary 242T00000XNone listed

Perfusionist: A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the …

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About NPI 1265672505

Douglas Tidwell, CCP's National Provider Identifier is 1265672505, issued on Feb 26, 2009. The primary taxonomy on file is Perfusionist (242T00000X), and the practice location is in Kettering, OH. The record was last updated on Feb 26, 2009.