Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THEODORE JOSEPH JERDEE, M.D.
ActiveDiagnostic Radiology · TRAVIS AFB, CA
Registration Details
- NPI Number
- 1104806397
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 23, 2006 (20.245781489866 yrs)
- Last Updated
- Jul 25, 2014
- Licenses
-
C53747 (CA)22461 (OK)
Practice Information
- Address
-
101 BODIN CIR60 MDG/SGQXTRAVIS AFB, CA, 945351809Browse CA providers · Browse ZIP 94535
- Phone
- 7074237182
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
- Additional Specialty
- General Practice
Other Diagnostic Radiology Providers in TRAVIS AFB, CA
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT ARNO JESINGER | M.D. | 1427042100 |
| DR. TEDDY SU | MD | 1003881830 |
| DR. ADRIANNE KAMARA THOMPSON | M.D. | 1306896261 |
| DR. MICHAEL ALLAN TALL | M.D. | 1568412518 |
| LUKE BENJAMIN SIMONET | M.D. | 1457307993 |
| DR. ELISSA R BALLAS | DO | 1285657486 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.