Organization
TDT MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOBYN DERBY-TALBOT CRNA (OWNER)
(949) 588-2190
Entity
Organization
Contact information
Practice address
1801 N CARSON ST, CARSON CITY, NV 89701-1216
(775) 882-1441
(775) 882-6844
Mailing address
5 HOLLAND STE 101, IRVINE, CA 92618-2568
(949) 588-2190
(949) 588-2199
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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