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NPI Code Detail

MEDICARE: DR. ERIC M TODER D.O.

MEDICARE:  DR. ERIC M TODER  D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician550NV
2204D00000XNeuromusculoskeletal Medicine & OMM Physician550NV

General Provider Information

NPI Number : 1043213085
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIC M TODER D.O.
Provider Business Mailing Address
First Line : 6853 W CHARLESTON BLVD
Second Line : SUITE A
City : LAS VEGAS
State : NV
Zip : 89117-1666
Country : US
Telephone Number : 702-384-8450
Fax Number : 702-366-1220
Provider Business Practice Location Address
First Line : 6853 W CHARLESTON BLVD
Second Line : SUITE A
City : LAS VEGAS
State : NV
Zip : 89117-1666
Country : US
Telephone Number : 702-384-8450
Fax Number : 702-366-1220
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 09/11/2025

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Directions to “ DR. ERIC M TODER D.O.” Practice Location

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