Tyler Haradon

NPI 1972173706 · on the registry since 2021

Practice

Address: 685 Citadel Dr E Ste 200a
Colorado Springs, CO 80909
Phone: (719) 574-4867
Organisation at this address: Medtransit
Buck Jack Llc
Entramed, Inc
Care Ride Llc
Buck Jack, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 112

Registry record

Primary taxonomy: Periodontics
1223P0300X
Licence states on file: CO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-06-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado