NPI 1043627292

Travis Tidwell, DPM

Practitioner Podiatrist Waterloo, IA

Practice location

Address: 2710 Saint Francis Dr STE 510, Waterloo, IA 50702-5620
Phone: (319) 272-5000
Fax: (319) 272-5236
Mailing address: 754 S Main St, St George, UT 84770-5504

Registered specialties (2)

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 5593046-0501 (UT)

Other Podiatrist providers in Iowa →

Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 074484 (IA)

Registry record

NPI: 1043627292
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jul 2014
Record last updated: 16 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.