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Richard H Tidwell Md Pllc
Family Medicine Physician in Jay, Oklahoma
NPI 1366589608

Richard H Tidwell Md Pllc is a Family Medicine Physician based in Jay, OK. Richard H Tidwell Md Pllc practices in Jay, OK. The NPI Number for Richard H Tidwell Md Pllc is 1366589608 and holds a License No. 18708 (Oklahoma).

The current practice location address for Richard H Tidwell Md Pllc is 2485 N Main Street, Jay, OK and can be reached out via phone at 918-253-2550 and via fax at 918-253-2559.

Location: 2485 N Main Street, Jay, OK, 74346-0987
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366589608
Provider Name
Richard H Tidwell Md Pllc
Credential
Provider Entity Type
Organization
Address
2485 N Main Street, Jay, OK, 74346-0987
Phone Number
918-253-2550
Fax Number
918-253-2559
Provider Enumeration Date
01/30/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
442760537004 01 OK BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2485 N Main Street
City
Jay
State
Oklahoma
Zip
74346-0987
Phone Number
918-253-2550
Fax Number
918-253-2559
person
Provider Business Mailing Address Details
Address
2485 N Main Street
City
Jay
State
Oklahoma
Zip
74346-0987
Phone Number
918-253-2550
Fax Number
918-253-2559
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
18708 (Oklahoma)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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