Todd Dextradeur MD PC
Todd Dextradeur MD PC is an Internal Medicine Physician in Thornton, Colorado. Licensed in Colorado. Registered with an NPI since 2008.
- Licensed in
- CO
- In the registry since
- 2008
- Specialties on file
- 2
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
51 W 84th Ave Ste 300Thornton, CO 80260-4883
Phone: (720) 289-8184
Fax: (303) 457-2341
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X |
|---|---|
| Sleep Medicine (Internal Medicine) Physician | Taxonomy 207RS0012X · Licence 35500 (CO) |
Record details
| NPI number | 1881864072 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Todd Dextradeur — Owner/Physician · (720) 289-8184 |
| NPI enumerated | March 4, 2008 |
| Last updated in NPPES | October 9, 2020 |
| Certification date | October 9, 2020 |
| Mailing address | 1324 S. Race Street, Denver, CO 80210-2332 |
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Dr. Shivani S Shinde, MD
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Dr. Mechelle D. Viola-Lewis, MD
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Jeffrey J Warren, MD
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Gary Louis Zuehlsdorff, DO
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