Provider Demographics
NPI:1144757238
Name:SPIRGEN, DUSTIN RAE (MD)
Entity type:Individual
Prefix:DR
First Name:DUSTIN
Middle Name:RAE
Last Name:SPIRGEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7780 S BROADWAY STE 150
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80122-2641
Mailing Address - Country:US
Mailing Address - Phone:303-347-9897
Mailing Address - Fax:303-347-9912
Practice Address - Street 1:7780 S BROADWAY STE 150
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-2641
Practice Address - Country:US
Practice Address - Phone:303-347-9897
Practice Address - Fax:303-347-9912
Is Sole Proprietor?:No
Enumeration Date:2017-05-19
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CODR.73580207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program