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NPI Code Detail

MEDICARE: TDM MEDICAL CONSULTING, LLC

MEDICARE: TDM MEDICAL CONSULTING, LLC
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
1171400000XHealth & Wellness Coach
2207VG0400XGynecology Physician

General Provider Information

NPI Number : 1629937701
Entity Type Code : Organization
Provider Name (Legal Business Name) : TDM MEDICAL CONSULTING, LLC
Provider Business Mailing Address
First Line : 7002 S CENTRAL AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85042-5423
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7002 S CENTRAL AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85042-5423
Country : US
Telephone Number : 602-499-4221
Fax Number :
Authorized Official
Title or Position : CEO/FOUNDER
Name : DR. TERESA DEAN MALCOLM
Credential : MD, FACOG, MBA, PCC
Telephone Number : 480-209-4899
Provider Enumeration Date : 01/15/2026
Last Update Date : 01/15/2026

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Directions to “TDM MEDICAL CONSULTING, LLC ” Practice Location

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