Healthcare Provider Details

I. General information

NPI: 1568434702
Provider Name (Legal Business Name): TODD A SHEER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 03/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 THREE SPRINGS BLVD STE 270
DURANGO CO
81301-8296
US

IV. Provider business mailing address

1010 THREE SPRINGS BLVD STE 270
DURANGO CO
81301-8296
US

V. Phone/Fax

Practice location:
  • Phone: 970-764-3800
  • Fax: 970-764-3840
Mailing address:
  • Phone: 970-764-3800
  • Fax: 970-764-3840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberA66415
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RI0008X
TaxonomyHepatology Physician
License NumberA66415
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberM6881
License Number StateTX
# 4
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberDR.0056114
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: