Bernard A. Tisdale, M.d., P.c

NPI #1215030416 in Richmond, Virginia

Provider Information

NPI Number: 1215030416
Entity Type: Organization
Organization Name: Bernard A. Tisdale, M.d., P.c
Primary Specialty: Specialist
Enumeration Date: Sep 6, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1109 W MARSHALL ST
City: Richmond
State: Virginia
ZIP Code: 23220-3835
Phone: (804) 257-7337

Authorized Official

Name: DR. BERNARD A TISDALE, M.D.
Title: PHYSICIAN
Phone: (804) 257-7337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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