Justin Diegel, DO | |
300 Colorado Ave, Pueblo, CO 81004-2006 | |
(719) 543-8711 | |
Not Available |
Full Name | Justin Diegel |
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Gender | Male |
Speciality | Family Medicine |
Location | 300 Colorado Ave, Pueblo, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497193718 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 0054482 (Colorado) | Primary |
Entity Name | Pueblo Community Health Center Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770529950 PECOS PAC ID: 4284543802 Enrollment ID: O20031104000171 |
Mailing Address | Practice Location Address |
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Justin Diegel, DO 5307 Red Cedar Ct, Pueblo, CO 81005-5586 Ph: () - | Justin Diegel, DO 300 Colorado Ave, Pueblo, CO 81004-2006 Ph: (719) 543-8711 |
Dr. Camila Teresa Robles, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 902 Lakeview Ave, Pueblo, CO 81004 Phone: 719-557-5872 | |
Dr. Queenter Kisang, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3676 Parker Blvd, Pueblo, CO 81008 Phone: 719-553-1804 Fax: 833-916-2047 | |
Steven Nafziger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1619 N Greenwood St, Suite 204, Pueblo, CO 81003 Phone: 719-544-1551 Fax: 719-544-1493 | |
Dr. Dana G Riley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Colorado Ave, Pueblo, CO 81004 Phone: 719-543-8711 Fax: 719-543-5340 | |
Dr. Terry Liefde, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 902 Lakeview Ave, Pueblo, CO 81004 Phone: 719-557-5855 Fax: 719-557-5097 | |
Spencer Bruce Hegerhorst, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 902 Lakeview Ave, Pueblo, CO 81004 Phone: 719-557-5872 Fax: 719-557-4780 | |
Dr. Scott Alan Deruiter, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 109 S Burlington Dr, Pueblo, CO 81007 Phone: 719-553-2205 Fax: 833-314-0183 |