John Scott Tidball, MD
John Scott Tidball, MD 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?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
23415 Three Notch Rd Ste 2054 Wildewood CenterCalifornia, 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 | 1760580476 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | September 20, 2006 |
| Last updated in NPPES | April 18, 2011 |
| Mailing address | 23415 Three Notch Rd, Suite 2054, California, MD 20619-4017 |
Other providers in California
-
Michael Gray, MD
PO Box 1207, California, MD 20619-1207 · (301) 850-2606
-
John Scott Tidball, MD, PC
23415 Three Notch Rd Ste 2054 Wildewood Ctr, California, MD 20619-4017 · (301) 737-7833
-
Medstar Medical Group - Southern Maryland LLC
22590 Shady Ct, California, MD 20619-5009 · (301) 737-0500
-
Shah Associates MD LLC
23415 Three Notch Rd # STORE50, California, MD 20619-4017 · (301) 863-8605