Organization
PENELOPE H THRON-WEBER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENELOPE H THRON-WEBER MD (OWNER)
(303) 985-8773
Entity
Organization
Contact information
Practice address
1370 S WADSWORTH BLVD, LAKEWOOD, CO 80232-5439
(303) 985-8773
Mailing address
PO BOX 643, WHEAT RIDGE, CO 80034-0643
(303) 985-8773
(303) 985-0827
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26213
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0126213
—
CO
Enumeration date
09/14/2012
Last updated
09/14/2012
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