NPI 1891798484 · live from the CMS NPI Registry
Tedd Mikel Mcdonald, MD
Preventive Medicine, Public Health & General Preventive Medicine in Fallon, NV. National Provider Identifier 1891798484, active.
NPI record
| NPI | 1891798484 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Preventive Medicine, Public Health & General Preventive Medicine 2083P0901X |
| Practice location | 485 W B St Ste 105, Fallon, NV 89406 |
| Practice phone | 775-423-6695 |
| Mailing address | 4200 Santa Fe Dr, Fallon, NV 89406 |
| Enumerated | May 27, 2005 |
| Last updated | July 25, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology, Gynecology | 207VG0400X | 11898 (NV) |
| Preventive Medicine, Public Health & General Preventive Medicine primary | 2083P0901X | 11898 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.