John Scott Tidball, MD, PC
John Scott Tidball, MD, PC is a Family Medicine Physician in California, Maryland. Licensed in Maryland. Registered with an NPI since 2006.
- Licensed in
- MD
- In the registry since
- 2006
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
23415 Three Notch Rd Ste 2054 Wildewood CtrCalifornia, MD 20619-4017
Phone: (301) 737-7833
Fax: (301) 737-4865
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence D52196 (MD) |
|---|
Record details
| NPI number | 1770659609 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Tidball — Owner · (301) 737-7833 |
| Other names | Wildewood Medical Care |
| NPI enumerated | November 24, 2006 |
| Last updated in NPPES | April 4, 2011 |
| Mailing address | 23415 Three Notch Rd, Ste 2054 Wildewood Ctr, California, MD 20619-4017 |
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John Scott Tidball, MD
23415 Three Notch Rd Ste 2054 Wildewood Center, California, MD 20619-4017 · (301) 737-7833