Individual
DR. SPENCER ROSE DEL MORAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11245 HURON ST, WESTMINSTER, CO 80234-2806
(033) 384-5453
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0063180
CO
207QA0505X
Adult Medicine Physician
ME147274
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0294245
KAISER COMMERCIAL NUMBER
CO
05
—
9000147852
—
CO
Enumeration date
04/16/2017
Last updated
02/28/2023
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