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“Diagnostic Radiology Physician” (Travis Afb, CA)

Location: Travis Afb, CA
Taxonomy: Diagnostic Radiology Physician.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1003881830 — DR. TEDDY SU MD
Practice Location Address:
101 BODIN CIR 60TH MEDICAL GROUP
TRAVIS AFB CA
94535-1809
Practice Phone: 707-423-7181
1063034908 — TIRZAH WENDE PRINCE WAIT MD
Practice Location Address:
101 BODIN CIR
TRAVIS AFB CA
94535-1809
Practice Phone: 707-423-7208
1104005172 — JAMES ODONE
Practice Location Address:
101 BODIN CIR
TRAVIS AFB CA
94535-1809
Practice Phone: 707-423-7182
1104806397 — DR. THEODORE JOSEPH JERDEE M.D.
Practice Location Address:
101 BODIN CIR 60 MDG/SGQX
TRAVIS AFB CA
94535-1809
Practice Phone: 707-423-7182
1225091945 — DR. ELY A WOLIN M.D.
Practice Location Address:
101 BODIN CIR
TRAVIS AFB CA
94535-1809
Practice Phone: 707-426-7597
1285657486 — DR. ELISSA R BALLAS DO
Practice Location Address:
101 BODIN CIR
TRAVIS AFB CA
94535
Practice Phone: 707-423-7210
1306896261 — DR. ADRIANNE KAMARA THOMPSON M.D.
Practice Location Address:
101 BODIN CIR 60 MDTS/SGQX
TRAVIS AFB CA
94535-1809
Practice Phone: 707-423-7182
1376981183 — DR. STEVEN DONNELLY LEWIS MD
Practice Location Address:
101 BODIN CIR
TRAVIS AFB CA
94535-1809
Practice Phone: 707-423-7213
1427042100 — DR. ROBERT ARNO JESINGER M.D.
Practice Location Address:
101 BODIN CIR DGMC RADIOLOGY 60 MDTS SGQX ( AMC )
TRAVIS AFB CA
94535-1809
Practice Phone: 707-423-7182
1457307993 — LUKE BENJAMIN SIMONET M.D.
Practice Location Address:
101 BODIN CIR
TRAVIS AFB CA
94535-1809
Practice Phone: 707-423-7205
1528110095 — STEPHEN BEPKO M.D.
Practice Location Address:
101 BODIN CIRCLE DAVID GRANT MEDICAL CENTER
TRAVIS AFB CA
94535-1800
Practice Phone: 707-423-7273
1568412518 — DR. MICHAEL ALLAN TALL M.D.
Practice Location Address:
101 BODIN CIR 60 MDTS/SGQX
TRAVIS AFB CA
94535-1809
Practice Phone: 707-423-7182
1588961163 — JASON D HOSKINS MD
Practice Location Address:
DAVID GRANT MEDICAL CENTER 101 BODIN CIR
TRAVIS AFB CA
94535-1809
Practice Phone: 707-423-7233
1669761862 — DR. BRENDON D BAGLEY M.D.
Practice Location Address:
101 BODIN CIR
TRAVIS AFB CA
94535-1809
Practice Phone: 718-283-6000
1790205813 — DR. ROBIN YIP MD
Practice Location Address:
101 BODIN CIR
TRAVIS AFB CA
94535-1809
Practice Phone: 707-423-7223
1851703334 — JAMES GULLO M.D.
Practice Location Address:
60 MDG/SGQX 101 BODIN CIR
TRAVIS AFB CA
94535-1800
Practice Phone: 707-423-3545
1932590957 — CLAIRE CHRISTINE WIDULE MD
Practice Location Address:
101 BODIN CIR
TRAVIS AFB CA
94535-1809
Practice Phone: 707-423-7205

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