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CHARLES TISDALE, PA-C
PA-C
Surgical Physician Assistant
NPI: 1821096686IndividualAccepts Medicare
Specialties, Licenses & Credentials
Surgical Physician AssistantPrimary
Physician Assistant — Surgical
Code: 363AS0400X
A10284(LA)PA.A10284(LA)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 1997
Contact & Hours
- Address
- 1500 LINE AVE STE 100
SHREVEPORT, LA 71101 - Phone
- (318) 635-3052
Quick Facts
- NPI
- 1821096686
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 29
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