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
- State
- New Mexico
- 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 Medicine — Geriatric Medicine |
| Family Medicine - Hospice and Palliative Medicine — Hospice and Palliative Medicine |
| Internal Medicine |
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