DR. Stephen J Tidik, M.D.
NPI #1053306803 in San Luis Obispo, California
Provider Information
- NPI Number
- 1053306803
- Entity Type
- Individual
- Name
- DR. Stephen J Tidik, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Surgery
- Credential
- M.D.
- Enumeration Date
- Sep 19, 2005
- Last Updated
- Jun 17, 2008
Practice Location
- Address
- 77 CASA ST
- Address 2
- SUITE 103
- City
- San Luis Obispo
- State
- California
- ZIP Code
- 93405-5803
- Phone
- (805) 544-8993
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
| Surgery |
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Organizations
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|---|---|
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