Individual
DIANE M SPENCER-HERRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11245 HURON ST, WESTMINSTER, CO 80234-2806
(303) 457-6566
Mailing address
3389 W 109TH CIR, WESTMINSTER, CO 80031-6817
(303) 451-5023
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
73054
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004474
KAISER-COMMERCIAL NUMBER
—
Enumeration date
02/16/2007
Last updated
07/08/2007
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