| Tedomer Llc | |
|
3720 Church Rock Rd Gallup NM 87301-4572 | |
| (505) 722-2261 | |
| (505) 722-4732 |
| Full Name | Tedomer Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3720 Church Rock Rd, Gallup, New Mexico |
| Authorized Official Name and Position | Timothy Nmn Domer (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5057834045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tedomer Llc 3720 Church Rock Rd Gallup NM 87301-4572 Ph: (505) 722-2261 | Tedomer Llc 3720 Church Rock Rd Gallup NM 87301-4572 Ph: (505) 722-2261 |
| NPI Number | 1033394861 |
|---|---|
| Provider Enumeration Date | 12/28/2007 |
| Last Update Date | 01/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033394861 | NPI | - | NPPES |
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