Organization
TODD DEXTRADEUR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD C. DEXTRADEUR MD (OWNER/PHYSICIAN)
(720) 289-8184
Entity
Organization
Contact information
Practice address
51 W. 84TH AVE, STE 300, THORNTON, CO 80260-4883
(720) 289-8184
(303) 457-2341
Mailing address
1324 S. RACE STREET, DENVER, CO 80210-2332
(720) 289-8184
(303) 457-2341
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
35500
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01355007
—
CO
01
—
35500
MEDICAL LIC
CO
Enumeration date
03/04/2008
Last updated
10/09/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us