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Dr. Theodore Joseph Jerdee, MD
General Practice Physician in Travis Afb, California
NPI 1104806397

Theodore Joseph Jerdee is a General Practice Physician based in Travis Afb, CA. Theodore Joseph Jerdee practices in Travis Afb, CA and has the professional credentials of MD. The NPI Number for Theodore Joseph Jerdee is 1104806397 and holds a License No. C53747 (California).

The current practice location address for Theodore Joseph Jerdee is 101 Bodin Cir, Travis Afb, CA and can be reached out via phone at 707-423-7182.

Location: 101 Bodin Cir, Travis Afb, CA, 94535-1809
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104806397
Provider Name
Theodore Joseph Jerdee
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
101 Bodin Cir, Travis Afb, CA, 94535-1809
Phone Number
707-423-7182
Fax Number
Provider Enumeration Date
01/23/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
101 Bodin Cir
City
Travis Afb
State
California
Zip
94535-1809
Phone Number
707-423-7182
Fax Number
person
Provider Business Mailing Address Details
Address
101 Bodin Cir
City
Travis Afb
State
California
Zip
94535-1809
Phone Number
707-423-7182
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
22461 (Oklahoma)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
C53747 (California)
Definition
Definition to come...
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