Organization
TERRI L STEDDUM OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRI STEDDUM OD (OPTOMETRIST)
(719) 553-0917
Entity
Organization
Contact information
Practice address
8696 ECKBERG HTS, COLORADO SPRINGS, CO 80924-8149
(901) 299-5279
Mailing address
412 EAGLERIDGE BLVD, PUEBLO, CO 81008-2100
(719) 553-0917
(719) 553-0918
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2700
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2700
STATE LICENSE NUMBER
CO
Enumeration date
02/25/2009
Last updated
02/25/2009
Update your record
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