Mr. Douglas Tidwell, CCP
Mr. Douglas Tidwell, CCP is a Perfusionist in Kettering, Ohio. Practices as a sole proprietor. Registered with an NPI since 2009.
- In the registry since
- 2009
Practice location Address checks out
580 Lincoln Park Blvd Ste 322Kettering, OH 45429-3474
Phone: (937) 297-6800
Fax: (937) 297-6810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Perfusionist (primary) | Taxonomy 242T00000X |
|---|
Record details
| NPI number | 1265672505 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CCP |
| Sole proprietor | Yes |
| NPI enumerated | February 26, 2009 |
| Last updated in NPPES | February 26, 2009 |
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