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NPI Code Detail

MEDICARE: ERIC TODER, D.O.

MEDICARE: ERIC 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
1204D00000XNeuromusculoskeletal Medicine & OMM Physician

General Provider Information

NPI Number : 1518589399
Entity Type Code : Organization
Provider Name (Legal Business Name) : ERIC TODER, D.O.
Provider Business Mailing Address
First Line : 7381 W CHARLESTON BLVD STE 120
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-1571
Country : US
Telephone Number : 702-384-8450
Fax Number : 702-366-1220
Provider Business Practice Location Address
First Line : 7381 W CHARLESTON BLVD STE 120
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-1571
Country : US
Telephone Number : 702-384-8450
Fax Number : 702-366-1220
Authorized Official
Title or Position : OWNER
Name : DR. ERIC TODER
Credential : DO
Telephone Number : 702-384-8450
Provider Enumeration Date : 05/14/2020
Last Update Date : 05/14/2020

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Directions to “ERIC TODER, D.O. ” Practice Location

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