DR. THEODORE JERDEE, M.D.

Radiology - Diagnostic Radiology

Active Individual
NPI: 1104806397

Practice Address

101 BODIN CIR
60 MDG/SGQX
Travis Afb, CA 94535

Phone: (707) 423-7182

Specialties

Specialty Code Primary License
Radiology - Diagnostic Radiology 2085R0202X Yes C53747 (CA)
General Practice 208D00000X No 22461 (OK)

Frequently Asked Questions

NPI 1104806397 is the National Provider Identifier for DR. THEODORE JERDEE, M.D., a Radiology - Diagnostic Radiology provider located in Travis Afb, CA. This NPI was enumerated on January 23, 2006.
DR. THEODORE JERDEE, M.D. practices at 101 BODIN CIR, 60 MDG/SGQX, Travis Afb, CA 94535.

Quick Facts

NPI
1104806397
Type
Individual
Enumerated
Jan 23, 2006
Last Updated
Jul 25, 2014

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