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Contact Information

TEDOMER LLC
3720 CHURCH ROCK RD
GALLUP, NM87301-4572
 Phone: 505-722-2261
 Fax: 505-722-4732
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for TEDOMER LLC · (Female)

NPI # 1033394861
Status Active
Credentials
Entity Individual
Enumeration date 12/28/2007
Last updated 01/03/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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