person
Eric Lee Tidwell
General Practice Physician in Searcy, Arkansas
NPI 1508506205

Eric Lee Tidwell is a General Practice Physician based in Las Cruces, AR. Eric Lee Tidwell practices in Searcy, AR. The NPI Number for Eric Lee Tidwell is 1508506205 and holds a License No. (Arkansas).

The current practice location address for Eric Lee Tidwell is 3214 E Race Ave, Searcy, AR and can be reached out via phone at 501-350-1548.

Location: 3214 E Race Ave, Searcy, AR, 88011-1711
person
Provider Profile Details
NPI Number
1508506205
Provider Name
Eric Lee Tidwell
Credential
Provider Entity Type
Individual
Gender
Male
Address
3214 E Race Ave, Searcy, AR, 88011-1711
Phone Number
501-350-1548
Fax Number
Provider Enumeration Date
03/30/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3214 E Race Ave
City
State
Zip
72143-4810
Phone Number
501-350-1548
Fax Number
person
Provider Business Mailing Address Details
Address
3214 E Race Ave
City
State
Zip
72143-4810
Phone Number
501-350-1548
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
010737 (Arizona)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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