Individual provider · Type 1 NPI
John Scott Tidball, MD
Family Medicine Physician · California, MD
Practice location
23415 Three Notch Rd, Suite 2054 Wildewood Center
California, MD 20619-4017
Fax (301) 737-4865
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician Primary | 207Q00000X | D52196 (MD) |
Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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- Michael Jeffrey Kuhn, DDSOrthodontics and Dentofacial Orthopedics Dentistry California, MD NPI 1104043157
- Nichole Lynn Pelletier, CRNPFamily Nurse Practitioner California, MD NPI 1841379781
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About NPI 1760580476
John Scott Tidball, MD's National Provider Identifier is 1760580476, issued on Sep 20, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in California, MD. The record was last updated on Apr 18, 2011.