HOLLIS TIDMORE, MD

MD

Surgery Physician

NPI: 1962473975Individual

Specialties, Licenses & Credentials

Vascular Surgery Physician

Surgery — Vascular Surgery

Code: 2086S0129X

2009005897(MO)

Surgery PhysicianPrimary

Surgery

Code: 208600000X

2009005897(MO)

Trauma Surgery Physician

Surgery — Trauma Surgery

Code: 2086S0127X

2009005897(MO)

Contact & Hours

Address: 1422 S SAM HOUSTON BLVD
HOUSTON, MO 65483
Phone: (417) 967-1252

Quick Facts

NPI: 1962473975
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 3
Locations: 1

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