Tedomer LLC

NPI #1033394861 in Gallup, New Mexico

Provider Information

NPI Number
1033394861
Entity Type
Organization
Organization Name
Tedomer LLC
Primary Specialty
Internal Medicine
Enumeration Date
Dec 28, 2007
Last Updated
Jan 3, 2008

Practice Location

Address
3720 CHURCH ROCK RD
City
Gallup
ZIP Code
87301-4572
Phone
(505) 722-2261

Authorized Official

Name
TIMOTHY NMN DOMER, MD
Title
MEDICAL DIRECTOR
Phone
(505) 783-4045

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Geriatric MedicineGeriatric Medicine
Family Medicine - Hospice and Palliative MedicineHospice and Palliative Medicine
Internal Medicine

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