| Tyler Lederhos, DC | |
|
8310 Colorado Blvd Ste 700, Firestone, CO 80504-6816 | |
| (303) 485-1922 | |
| Not Available |
| Full Name | Tyler Lederhos |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 8310 Colorado Blvd Ste 700, Firestone, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124826227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 0008912 (Colorado) | Primary |
| Provider Name | Firestone Chiropractic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1710275029 PECOS PAC ID: 1355513391 Enrollment ID: O20111017000351 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Lederhos, DC 6714 Orrwood Dr, Frederick, CO 80516-9533 Ph: (720) 879-2284 | Tyler Lederhos, DC 8310 Colorado Blvd Ste 700, Firestone, CO 80504-6816 Ph: (303) 485-1922 |
Dean Lester Wright, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 8310 Colorado Blvd Ste 700, Firestone, CO 80504 Phone: 303-485-1922 | |
Goodwin Chiropractic A Pllc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6050 Firestone Blvd Unit 205, Firestone, CO 80504 Phone: 303-485-1922 | |
Dr. Patrick Sean Larabee, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6772 Sunburst Ave, Firestone, CO 80504 Phone: 303-588-0704 | |
Firestone Chiropractic Limited Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8310 Colorado Blvd Ste 700, Firestone, CO 80504 Phone: 303-485-1922 Fax: 303-485-1924 |