Individual
DR. TODD E. HEGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2351 G RD, GRAND JUNCTION, CO 81505-9641
(970) 644-3237
(970) 644-3259
Mailing address
PO BOX 308, MONTROSE, CO 81402-0308
(970) 497-8416
(970) 467-8410
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
DR.0025745
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74609858
—
CO
Enumeration date
06/01/2005
Last updated
09/17/2019
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