National Provider Identifier Database

TEDOMER LLC
Internal Medicine

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.


Contact Information

TEDOMER LLC
3720 CHURCH ROCK RD
GALLUP, NM87301-4572
Phone: 505-722-2261
Fax: 505-722-4732
Website:
Specialty Taxonomy Code
* Internal Medicine 207R00000X
Geriatric Medicine 207RG0300X
Hospice and Palliative Medicine 207QH0002X

* Indicates primary specialty

NPI Profile & details for TEDOMER LLC

NPI Number 1033394861
Legal business name
LBN
TEDOMER LLC
Authorized official TIMOTHY DOMER - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 12/28/2007
Last updated 01/03/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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