Individual
TOD MCKERCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
5100 S PICADILLY ST, EAGLECREST HIGH SCHOOL, AURORA, CO 80015-3300
(720) 886-1080
Mailing address
5100 S PICADILLY ST, EAGLECREST HIGH SCHOOL, AURORA, CO 80015-3300
(720) 886-1080
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
AT0000598
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04444162
—
CO
Enumeration date
08/20/2014
Last updated
08/20/2014
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