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TEDOMER LLC NPI 1033394861


NPI Information

NPI: 1033394861
Provider Name: TEDOMER LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
3720 CHURCH ROCK RD
GALLUP, NM
ZIP 87301
Phone: (505) 722-2261
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TEDOMER LLC is an internal medicine in Gallup, NM. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. TEDOMER LLC NPI is 1033394861. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3720 CHURCH ROCK RD
GALLUP, NM
ZIP 87301-572
Phone: (505) 722-2261
Fax: (505) 722-4732

The provider's authorized official is Timothy Nmn Domer .
The authorized official title is Medical Director and has the following contact phone number (505) 783-4045.

The enumeration date for this NPI number is 12/28/2007 and was last updated on 1/3/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0300XInternal MedicineGeriatric MedicineNo
2207QH0002XFamily MedicineHospice and Palliative MedicineNo
3207R00000XInternal MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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