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
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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