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Spencer Bruce Hegerhorst, DO
Student in an Organized Health Care Education/Training Program in Pueblo, Colorado
NPI 1093465692

Spencer Bruce Hegerhorst is a Student in an Organized Health Care Education/Training Program based in Santaquin, CO. Spencer Bruce Hegerhorst practices in Pueblo, CO and has the professional credentials of DO. The NPI Number for Spencer Bruce Hegerhorst is 1093465692 and holds a License No. PENDING (Colorado).

The current practice location address for Spencer Bruce Hegerhorst is 902 Lakeview Ave, Pueblo, CO and can be reached out via phone at 719-557-5872 and via fax at 719-557-4780. You can also correspond with Spencer Bruce Hegerhorst through the mailing address at 1085 S BLUFF ST, SANTAQUIN, UT - 84655-8337 (mailing address contact number: 503-593-8276).

Location: 902 Lakeview Ave, Pueblo, CO, 84655-8337
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093465692
Provider Name
Spencer Bruce Hegerhorst
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
902 Lakeview Ave, Pueblo, CO, 84655-8337
Phone Number
719-557-5872
Fax Number
719-557-4780
Provider Enumeration Date
03/25/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
902 Lakeview Ave
City
Pueblo
State
Colorado
Zip
81004-3597
Phone Number
719-557-5872
Fax Number
719-557-4780
person
Provider Business Mailing Address Details
Address
1085 S Bluff St
City
Santaquin
State
Utah
Zip
84655-8337
Phone Number
503-593-8276
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
TL.0009167 (Colorado)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
PENDING (Colorado)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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