Individual
TYLER HARADON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
685 CITADEL DR E STE 200A, COLORADO SPRINGS, CO 80909-5315
(719) 574-4867
Mailing address
685 CITADEL DR E STE 200A, COLORADO SPRINGS, CO 80909-5315
(719) 574-4867
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
204636
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7195744867
OTHER
—
Enumeration date
06/24/2021
Last updated
06/24/2021
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