| Doctor Name: | GERALD T TELANDER |
| NPI Number: | 1003128117 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 94-150 |
| Business Practice Address: | 2450 S Telshor Blvd Las Cruces, NM - 880115069 |
| Business Phone Number: | 5755228641 |
| Business Fax Number: | |
| Mailing Address: | 4 Calle Chamisa, PLACITAS |
| State: | NM |
| Postal Code: | 870439322 |
| Phone Number: | 5058677414 |
| Fax Number: | |
| NPI Enumeration Date: | 07/06/2010 |
| NPI Last Update Date: | 07/06/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 94-150 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |