Provider Demographics
NPI:1942314455
Name:HUNTER, HEATHER N (MD)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:N
Last Name:HUNTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:N
Other - Last Name:HUEBNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:400 S MCCASLIN BLVD
Mailing Address - Street 2:STE. 103
Mailing Address - City:SUPERIOR
Mailing Address - State:CO
Mailing Address - Zip Code:80027-9731
Mailing Address - Country:US
Mailing Address - Phone:303-666-7337
Mailing Address - Fax:303-666-7379
Practice Address - Street 1:400 S MCCASLIN BLVD
Practice Address - Street 2:STE. 103
Practice Address - City:SUPERIOR
Practice Address - State:CO
Practice Address - Zip Code:80027-9731
Practice Address - Country:US
Practice Address - Phone:303-666-7337
Practice Address - Fax:303-666-7379
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004013303208000000X
CO0056999208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04014791Medicaid