Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 550 | NV |
N | 207Q00000X | Family Doctor | 550 | NV |
NPI | 1043213085 |
---|---|
Provider Name | Dr. Eric M Toder |
First Address | Las Vegas, NV 89117-1666 |
Second Address | Las Vegas, NV 89117-1666 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D60753 | (02) |