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Dr. Stephen J Tidik, MD
Surgery Physician in San Luis Obispo, California
NPI 1053306803

Stephen J Tidik is a Surgery Physician based in San Luis Obispo, CA. Stephen J Tidik practices in San Luis Obispo, CA and has the professional credentials of MD. The NPI Number for Stephen J Tidik is 1053306803 and holds a License No. G57086 (California).

The current practice location address for Stephen J Tidik is 77 Casa St, San Luis Obispo, CA and can be reached out via phone at 805-544-8993 and via fax at 805-544-0120.

Location: 77 Casa St, San Luis Obispo, CA, 93405-5803
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053306803
Provider Name
Stephen J Tidik
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
77 Casa St, San Luis Obispo, CA, 93405-5803
Phone Number
805-544-8993
Fax Number
805-544-0120
Provider Enumeration Date
09/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G57086 01 CA MEDICAL LICENSE
00G570860 05 CA
institution
Provider Business Practice Location Address Details
Address
77 Casa St
City
San Luis Obispo
State
California
Zip
93405-5803
Phone Number
805-544-8993
Fax Number
805-544-0120
person
Provider Business Mailing Address Details
Address
77 Casa St
City
San Luis Obispo
State
California
Zip
93405-5803
Phone Number
805-544-8993
Fax Number
805-544-0120
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G57086 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
G57086 (California)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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