Individual
DR. TRAVIS JOHN DEKKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
175 S UNION BLVD STE 125, COLORADO SPRINGS, CO 80910-3117
(719) 365-1950
Mailing address
635 E KINGS DEER PT, MONUMENT, CO 80132-8773
(505) 228-6795
(904) 450-6401
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
DR.0059812
CO
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
DR.0059812
CO
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
ME141951
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000212357
—
CO
Enumeration date
04/01/2013
Last updated
07/22/2025
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