Individual
CHARLTON MORGAN WEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1393 WEIMER RD, TAOS, NM 87571-6201
(575) 758-8651
Mailing address
151 W LAKE ST STE 1500, FORT COLLINS, CO 80524-4124
(970) 237-8200
(970) 237-8291
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36138223
—
CO
Enumeration date
10/17/2014
Last updated
04/28/2021
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