Individual
AMY DEITEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 COLORADO AVE, PUEBLO, CO 81004-2006
(719) 543-8718
(719) 296-8648
Mailing address
110 E ROUTT AVE, PUEBLO, CO 81004-2117
(719) 543-8718
(719) 585-3042
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2814
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78120519
—
CO
Enumeration date
08/12/2009
Last updated
12/08/2014
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