MR. Larry E. Tidyman, PA-C
NPI #1972690345 in Benkelman, Nebraska
Provider Information
- NPI Number
- 1972690345
- Entity Type
- Individual
- Name
- MR. Larry E. Tidyman, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Oct 6, 2006
- Last Updated
- Sep 1, 2010
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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