Individual provider · Type 1 NPI

Theodore Joseph Jerdee, MD

Diagnostic Radiology Physician · Travis Afb, CA

NPI number 1104806397 Active

Practice location

101 Bodin Cir, 60 Mdg/sgqx
Travis Afb, CA 94535-1809

Call (707) 423-7182 Map

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XC53747 (CA)
General Practice Physician 208D00000X22461 (OK)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1104806397

Theodore Joseph Jerdee, MD's National Provider Identifier is 1104806397, issued on Jan 23, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Travis Afb, CA. The record was last updated on Jul 25, 2014.