DR. Ted Justin Stidham, M.D.

NPI #1134428402 in Portsmouth, Ohio

Provider Information

NPI Number: 1134428402
Entity Type: Individual
Name: DR. Ted Justin Stidham, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Mar 25, 2011
Last Updated: Dec 16, 2020

Practice Location

Address: 1611 27TH ST STE 101
City: Portsmouth
State: Ohio
ZIP Code: 45662-6932
Phone: (740) 356-7337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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