Dr. Dale Roger Tidaback, MD, MPH
Dr. Dale Roger Tidaback, MD, MPH is a Family Medicine Physician in Wright Patterson AFB, Ohio. Practices as a sole proprietor. Licensed in South Dakota.
- Licensed in
- SD
- In the registry since
- 2005
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
4881 Sugar Maple DrWright Patterson AFB, OH 45433-5529
Phone: (703) 994-8148
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Specialties & licences
| Aerospace Medicine Physician (primary) | Taxonomy 2083A0100X · Licence 1559 (SD) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 1559 (SD) |
Record details
| NPI number | 1710963772 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD , MPH |
| Sole proprietor | Yes |
| NPI enumerated | December 21, 2005 |
| Last updated in NPPES | December 2, 2014 |
Other providers in Wright Patterson AFB
-
Dr. Dane Morgan Newell, DO
4881 Sugar Maple Dr, Wright Patterson AFB, OH 45433-5529 · (937) 938-8384
-
Dr. Steven James Nordeen, MD
88 Mdg/sghj 4881 Sugar Maple Dr, Wright Patterson AFB, OH 45433 · (937) 938-2744
-
Dr. Christopher Orsello, MD
4881 Sugar Maple Dr, Wright Patterson AFB, OH 45433-5529 · (937) 938-2867
-
Dr. Gregory Bret Sweitzer, MD
4881 Sugar Maple Dr, Wright Patterson AFB, OH 45433-5529 · (937) 522-2778
-
Christopher Makoto Tsueda, MD
88 Mdg/sghj 4881 Sugar Maple Dr, Wright Patterson AFB, OH 45433 · (937) 268-6511
-
Dr. William Joseph Valko, MD
88 Medical Group 4881 Sugar Maple Dr, Wright Patterson AFB, OH 45433-5529 · (937) 257-9261
-
Elmer F Wahl, MD
4881 Sugar Maple Dr 88 Mdos/sgopc, Wright Patterson AFB, OH 45433-5546 · (937) 257-9700