| Todd Dextradeur Md Pc | |
|
51 W. 84th Ave Ste 300 Thornton CO 80260-4883 | |
| (720) 289-8184 | |
| (303) 457-2341 |
| Full Name | Todd Dextradeur Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 51 W. 84th Ave, Thornton, Colorado |
| Authorized Official Name and Position | Todd C. Dextradeur (OWNER/PHYSICIAN) |
| Authorized Official Contact | 7202898184 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Todd Dextradeur Md Pc 1324 S. Race Street Denver CO 80210-2332 Ph: (720) 289-8184 | Todd Dextradeur Md Pc 51 W. 84th Ave Ste 300 Thornton CO 80260-4883 Ph: (720) 289-8184 |
| NPI Number | 1881864072 |
|---|---|
| Provider Enumeration Date | 03/04/2008 |
| Last Update Date | 10/09/2020 |
| Medicare PECOS PAC ID | 9335037183 |
|---|---|
| Medicare Enrollment ID | O20040304001151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881864072 | NPI | - | NPPES |
| 35500 | Other | CO | MEDICAL LIC |
| 01355007 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RS0012X | Internal Medicine - Sleep Medicine | 35500 (Colorado) | Secondary |
| Provider Name | Todd C Dextradeur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801845532 PECOS PAC ID: 7113815978 Enrollment ID: I20090709000121 |
Hume, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9901 Grant St, Vision Center, Thornton, CO 80229 Phone: 303-451-9958 | |
Colorado Physician Partners, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 E 104th Ave Ste 115, Thornton, CO 80233 Phone: 303-452-2766 Fax: 303-252-8694 | |
Family Medicine Associates, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8853 Fox Dr Ste 200, Thornton, CO 80260 Phone: 303-487-8817 Fax: 303-487-0429 | |
Clinica Campesina Family Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9351 Washington St, Thornton, CO 80229 Phone: 303-665-3036 Fax: 702-206-0407 | |
Philip M Henbest Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9981 N Washington St, Suite 21, Thornton, CO 80229 Phone: 303-252-0488 Fax: 303-252-1624 | |
Douthit Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9981 N Washington St, Thornton, CO 80229 Phone: 303-451-8069 Fax: 303-450-2372 | |
Clinica Campesina - Thornton Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8990 N Washington St, Thornton, CO 80229 Phone: 720-929-1655 Fax: 720-929-1417 |