| Gerald L Tarder, Md A Professional Corporation | |
|
130 La Casa Via B2 107 Walnut Creek CA 94598 | |
| (925) 938-6060 | |
| (925) 938-0119 |
| Full Name | Gerald L Tarder, Md A Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 130 La Casa Via B2 107, Walnut Creek, California |
| Authorized Official Name and Position | Gerald L Tarder (OWNER) |
| Authorized Official Contact | 9259386060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald L Tarder, Md A Professional Corporation 130 La Casa Via B2 107 Walnut Creek CA 94598 Ph: (925) 938-6060 | Gerald L Tarder, Md A Professional Corporation 130 La Casa Via B2 107 Walnut Creek CA 94598 Ph: (925) 938-6060 |
| NPI Number | 1447424908 |
|---|---|
| Provider Enumeration Date | 04/16/2008 |
| Last Update Date | 04/16/2008 |
| Medicare PECOS PAC ID | 3072683515 |
|---|---|
| Medicare Enrollment ID | O20080610000305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447424908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Gerald L Tarder |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396833984 PECOS PAC ID: 8729070800 Enrollment ID: I20040330001806 |
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