Individual
DR. JAMES C. TEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A23826
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A238260
BLUE SHIELD OF CA PIN
CA
05
—
00A238260
—
CA
01
—
3578701011
CIGNA PIN
—
01
—
4315040
AETNA PIN
—
01
—
A23826
MEDICAL LICENSE #
CA
01
—
OUT003
BLUE CROSS HMO PIN
CA
Enumeration date
06/16/2005
Last updated
07/09/2007
Update your record
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