MR. David Eugene Tisdale, R-PCA

NPI #1396835112 in Massena, New York

Provider Information

NPI Number
1396835112
Entity Type
Individual
Name
MR. David Eugene Tisdale, R-PCA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
R-PCA
Enumeration Date
Oct 13, 2006
Last Updated
Feb 6, 2015

Practice Location

Address
1 HOSPITAL DR
ZIP Code
13662-1056
Phone
(315) 769-4200

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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