Jennifer Evans Tidroski
D.O. | Pediatrics | Female
Jennifer Evans Tidroski, D.O. is a Prescott, Arizona based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Jennifer Evans Tidroski is
2120 Centerpointe West Dr, Prescott, Arizona - 86301-8487. She can be contacted on phone at
928-778-4581 and fax number 928-776-1872.
Jennifer Evans Tidroski is a sole proprietor of her business.
NPI number (Unique professional ID) for Jennifer Evans Tidroski is
1639457245 which was assigned by NPPES on 31 Jul, 2011 and it was last updated on 21 Feb, 2017.
Jennifer Evans Tidroski license number is
007047 for Pediatrics (208000000X) in Arizona.
Jennifer Evans Tidroski is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jennifer Evans Tidroski basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Jennifer Evans Tidroski |
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| Credential : | D.O. |
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| Gender : | Female |
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Business Address:
Jennifer Evans Tidroski address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2120 Centerpointe West Dr
Prescott, AZ, 86301-8487
United States |
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| Phone Number : | 928-778-4581 |
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| Fax Number : | 928-776-1872 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1639457245 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 31 Jul, 2011 |
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| Last Updated On : | 21 Feb, 2017 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jennifer Evans Tidroski are as mentioned. Primary taxonomy code for Jennifer Evans Tidroski, D.O. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | P0309 | TX |
| 208000000X | Pediatrics | Yes | 007047 | AZ |
Legacy Identifiers:
Other legacy medical identifiers of Jennifer Evans Tidroski such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 2865081 | MEDICAID | TX | |
| 182372 | MEDICAID | AZ | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 10880
Prescott, AZ, 86304-0880
United States |
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| Phone Number : | 928-759-5874 |
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| Fax Number : | 928-458-2039 |
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Business Location:
Patients can refer following map for directions to
Jennifer Evans Tidroski practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.