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Dr. Eric M Toder

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NPI Number Detailed Information

Provider Information:

Name: Dr. Eric M Toder
Gender: M
Provider License Number If Given: 550

NPI Information:

NPI: 1043213085
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 7/8/2007

Provider Business Mailing Address:

Address: 6853 W CHARLESTON BLVD SUITE A
Las Vegas, NV 89117
Phone Number: 7023848450
Fax Number: 7023661220

Provider Business Practice Location Address:

Address: 6853 W CHARLESTON BLVD SUITE A
Las Vegas, NV 89117
Phone Number: 7023848450
Fax Number: 7023661220

Provider Taxonomy:

Primary: 204D00000X
Secondary (if any): 207Q00000X
State: NV

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