Dr AUSTIN T TIDWELL is a male medical professional, specializing in Hospitalist. He graduated in 2014 from Philadelphia College Of Osteopathic Medicine.
PACIFIC REDWOOD MEDICAL GROUP INC
275 HOSPITAL DR
UKIAH
CA
954824531
Tel: 7074627900
| Npi | 1366862690 |
| Pac Id | 4789800053 |
| Professional Enrollment Id | I20170710001438 |
| Last Name | TIDWELL |
| First Name | AUSTIN |
| Middle Name | T |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | HOSPITALIST |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | PACIFIC REDWOOD MEDICAL GROUP INC |
| Group Practice Pac Id | 5496652703 |
| Number Of Group Practice Members | 24 |
| Line 1 Street Address | 275 HOSPITAL DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | UKIAH |
| State | CA |
| Zip Code | 954824531 |
| Phone Number | 7074627900 |
| Hospital Affiliation Ccn 1 | 050301 |
| Hospital Affiliation Lbn 1 | ADVENTIST HEALTH UKIAH VALLEY |
| Hospital Affiliation Ccn 2 | 051310 |
| Hospital Affiliation Lbn 2 | ADVENTIST HEALTH HOWARD MEMORIAL |
| Hospital Affiliation Ccn 3 | 050013 |
| Hospital Affiliation Lbn 3 | ADVENTIST HEALTH ST HELENA |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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