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Individual

DR. DIANE REBECCA HESSELBROCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5818 N NEVADA AVE STE 225, COLORADO SPRINGS, CO 80918-3547
(719) 365-6300
Mailing address
5770 FLINTRIDGE DR STE 100, COLORADO SPRINGS, CO 80918-1870
(719) 445-9902
(719) 387-0312

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
DR.0054110
CO
2084N0400X
Neurology Physician
R-8333
IA
390200000X
Student in an Organized Health Care Education/Training Program
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64920330
CO
Enumeration date
06/09/2008
Last updated
04/05/2023
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