DR. Carter S Tisdale, MD

NPI #1518407600 in Wright Patterson Afb, Ohio

Provider Information

NPI Number: 1518407600
Entity Type: Individual
Name: DR. Carter S Tisdale, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Ophthalmology
Credential: MD
Enumeration Date: Mar 8, 2017
Last Updated: May 9, 2024

Practice Location

Address: 4881 SUGAR MAPLE DR
City: Wright Patterson Afb
State: Ohio
ZIP Code: 45433-5529
Phone: (937) 522-2841

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X
Ophthalmology	207W00000X	Primary

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