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Individual
DR. THEODORE JOSEPH JERDEE
Active
Individual
DR. THEODORE JOSEPH JERDEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
C53747
CA
208D00000X
General Practice Physician
22461
OK
Other
Enumeration date
01/23/2006
Last updated
07/25/2014
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