Provider Demographics
NPI:1932342334
Name:SPEER, EMILY ALISON (MD)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:ALISON
Last Name:SPEER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:HEFFNER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3455 LUTHERAN PKWY STE 220
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-6029
Mailing Address - Country:US
Mailing Address - Phone:303-403-3030
Mailing Address - Fax:
Practice Address - Street 1:3455 LUTHERAN PKWY STE 220
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-6029
Practice Address - Country:US
Practice Address - Phone:303-403-3030
Practice Address - Fax:303-403-6907
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-14
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO390200000X208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery