Individual
DR. DOUGLAS REX HESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 S SANTA FE AVE, SUITE 500, PUEBLO, CO 81003-4270
(719) 296-5840
(719) 542-0746
Mailing address
PO BOX 570, PUEBLO, CO 81002-0570
(719) 296-5840
(719) 542-0746
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
27403
CO
207LP2900X
Pain Medicine (Anesthesiology) Physician
27403
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01274034
—
CO
01
—
050051086
RR MEDICARE
—
01
—
CH6461
RR MEDICARE - GROUP
—
01
—
PH18408
BCBS
—
Enumeration date
08/01/2006
Last updated
03/13/2012
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