| Dr Dale Roger Tidaback, MD, MPH | |
|
4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | |
| (703) 994-8148 | |
| Not Available |
| Full Name | Dr Dale Roger Tidaback |
|---|---|
| Gender | Male |
| Speciality | Preventive Medicine - Aerospace Medicine |
| Location | 4881 Sugar Maple Dr, Wright Patterson Afb, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710963772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1559 (South Dakota) | Secondary |
| 2083A0100X | Preventive Medicine - Aerospace Medicine | 1559 (South Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dale Roger Tidaback, MD, MPH 9200 Armetale Ct, Fairfax Station, VA 22039-3111 Ph: (703) 690-1448 | Dr Dale Roger Tidaback, MD, MPH 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 Ph: (703) 994-8148 |
Dr. Je Hyung Park, M.D. Preventive Medicine Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-257-9922 | |
Dr. Matthew Ray Doubrava, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 4881 Sugar Maple Dr Bldg 830, Wright Patterson Afb, OH 45433 Phone: 379-383-9159 | |
Jason Burchett, DO Preventive Medicine Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-938-8489 | |
Dr. Richard Allen Allnutt Iii, MD MPH Preventive Medicine Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, 88mdg/sghj, Wright Patterson Afb, OH 45433 Phone: 937-938-3076 | |
Dr. Stacey Lynn Branch, DO, MPH Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 88 Mdg/sghj, 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-938-2735 | |
Dr. Charles Darnall Clinton, M.D., M.P.H. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 2510 5th St Bldg 840, Wright Patterson Afb, OH 45433 Phone: 937-938-2873 | |
Dr. Alden Douglas Hilton Sr., M.D., M.P.H. Preventive Medicine Medicare: Medicare Enrolled Practice Location: 2325 5th St Bldg 675, Wright Patterson Afb, OH 45433 Phone: 937-255-1704 |