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TEDOMER LLC
NPI 1033394861
Internal Medicine in Gallup, NM

Active since December 28, 2007
3720 CHURCH ROCK RD, GALLUP, NM 87301(505) 722-2261(505) 722-4732 Get Directions Write a Review

NPPES record last updated: January 3, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tedomer Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TEDOMER LLC (NPI 1033394861) is a healthcare organization registered as an internal medicine in Gallup, New Mexico and active in the NPI registry since December 2007. The organization lists Timothy Nmn Domer, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1033394861
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameTEDOMER LLC
Location Address3720 CHURCH ROCK RDGallup, NM 87301-4572
Mailing Address3720 Church Rock RdGallup, NM 87301-4572 · (505) 722-2261 · Fax (505) 722-4732
Phone(505) 722-2261
Fax(505) 722-4732
Organization SubpartNo
Authorized OfficialTimothy Nmn DomerMedical Director · (505) 783-4045
Enumeration DateDecember 28, 2007
Last NPPES UpdateJanuary 3, 2008
✔ NPI 1033394861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
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.
Also ListedFamily Medicine · Hospice and Palliative MedicineTaxonomy 207QH0002X
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X
3720 CHURCH ROCK RD, Gallup, NM 87301
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tedomer LLC's NPI number?

The NPI number for Tedomer LLC is 1033394861. It was assigned to this organization in the NPPES registry on December 28, 2007.

Where is Tedomer LLC located?

Tedomer LLC is located at 3720 Church Rock Rd, Gallup, NM 87301. The listed phone number is (505) 722-2261.

What is Tedomer LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Tedomer LLC was last updated on January 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.